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"content": "\u003cp>Hundreds of residents filled the streets of the Mission District in San Francisco on Tuesday evening to honor and celebrate the dead on Día de los Muertos. The sidewalks of 24th Street, from Mission Street to Potrero Avenue, were packed with families, some holding candles, others wearing delicately crafted dresses, face paint and hair arrangements made out of cempasúchil, or marigolds.\u003c/p>\n\u003cfigure id=\"attachment_11894971\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894971 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A person wears an elaborate head garment, face paint and purple, ribboned dress as they dance in the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniela Zurita walks during Dia de los Muertos in San Francisco on Nov. 2, 2021, in memory of her mother who passed away in August due to COVID-19. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Photos and paintings of loved ones who had died were placed on tables or pinned on trees, surrounded by food, water, sage and cempasúchil.\u003c/p>\n\u003cp>On the corner of 24th and Capp streets, outside the Calle 24 Latino Cultural District building, a celebration honoring the lives of deceased womxn, queer and trans people of color, or QTPOC, and youth included dance performances by the the Mission-based Danza Azteca Mixcoatl Anahuac and readings by members of the Young Women’s Freedom Center.\u003c/p>\n\u003cp>(“\u003ca href=\"https://thebutlercollegian.com/2021/03/women-womxn-womyn/\">Womxn\u003c/a>” is an alternative spelling used to include those who feel excluded by the spellings “women” or “womyn,” particularly trans and nonbinary women.)\u003c/p>\n\u003cfigure id=\"attachment_11894963\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894963 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A person wearing traditional Aztec dance regalia lifts their hands up in prayer in front of a poster that shares some of the statistics on violence committed against women and queer and trans people of color.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A member of the group Danza Azteca Mixcoatl Anahuac opens a community healing vigil and living ofrenda celebration with a blessing outside Calle 24 on 24th and Capp streets in San Francisco on Nov. 2, 2021. The event honored the memory of womxn, QTPOC, and children lost to violence. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As has become tradition over the decades, musicians, artists and vendors gathered at intersections, parking lots and other available open space, transforming 24th Street into a living ofrenda — or place of offering — a powerful reminder that honoring the dead need not always be somber ritual, but also can be one of joy and creative expression.\u003c/p>\n\u003cfigure id=\"attachment_11894962\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894962 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A group of people carries a bright orange banner down the middle of a street.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group walks along 24th Street under colorful rows of papel picado while carrying a sign that says “38th Annual Dia de los Muertos San Francisco Mission District,” during a Day of the Dead celebration in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Día de los Muertos is not just about celebrating the dead, but to also celebrate the living,” Jorge Molina, a bearer of Indigenous knowledge and self-described “journeyman,” said after performing a blessing at the new Mission Cultural Center for Latino Arts exhibit, “Ni Tanto Ni Tan Muertos, En Nuestra Memoria — Neither So Many, Nor So Dead, in Our Memories.”\u003c/p>\n\u003cfigure id=\"attachment_11894964\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894964 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A woman wearing face paint and cemaspúchil in her hair sings to a crowd on the sidewalk.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Berta Hernández speaks during a community healing vigil and living ofrenda celebration on 24th and Capp streets in San Francisco on Nov. 2, 2021. The event honored the memory of womxn, QTPOC, and children lost to violence. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the vigil organized by Calle 24, Berta Hernández, a community health worker and educator, performed a spoken-word piece as part of a larger tribute to Evelyn Hernández, a San Francisco resident whose body was found floating in the Bay in 2002. Her young son, Alex, is still missing, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/ongoing-investigations/homicides-and-cold-cases\">according to the San Francisco Police Department\u003c/a>.\u003c/p>\n\u003cp>Hernández first met Evelyn when the latter was a student in a youth theater group at the Mission Recreation Center in the mid-1990s. Evelyn was then 14 and had recently migrated from El Salvador. Over the years, Berta and her family grew very close with Evelyn, and were deeply affected by her death.\u003c/p>\n\u003cfigure id=\"attachment_11894972\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894972 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"Two people wear face paint and flowers in their hair and look at the camera.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Mariah Cativo (left) and Lucy Molina pause for a portrait as they walk along 24th Street in San Francisco’s Mission District during a Dia de los Muertos celebration on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That loss still hurts,” Hernández said in Spanish, noting that it has taken her 19 years to feel comfortable enough to “offer this small tribute.” She, along with others who knew Evelyn, performed a rendition of “Canción Sin Miedo,” an anthem that denounces gender-based violence and demands justice for femicides.\u003c/p>\n\u003cp>“Cantamos sin miedo, pedimos justicia. Gritamos por cada desaparecida. Que resuene fuerte ‘¡nos queremos vivas!’ Que caiga con fuerza el feminicida,” they sang. \u003cem>We sing without fear, we ask for justice. We yell for each woman that has dissappeared. Let it be heard that we want each of us alive and that there be an end to femicide.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11894973\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894973 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A collage of photos with pink, green, and yellow paper flowers stands next a small mortar that carries burning sage. A few candles are nearby.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">An altar made by the Young Women’s Freedom Center for people lost to police brutality and gender violence, as well as people who passed through the program, at a Dia de los Muertos celebration in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hernández pointed to the increase in cases of gender-based violence in the U.S. and Latin America during the pandemic, \u003ca href=\"https://apnews.com/article/pandemics-health-violence-coronavirus-cfb40ca690c9f556b742bd39e1e8e9b6\">especially against Indigenous and migrant women\u003c/a>, as one of the key reasons Evelyn’s death is especially relevant now. The vigil also honored the lives of multiple other Bay Area women who were victims of violence.\u003c/p>\n\u003cp>“Dia de Muertos is about the dead, yes,” Hernández said. “But at the same time, it always is a denuncia social — an act of resistance.”\u003c/p>\n\u003cfigure id=\"attachment_11894967\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894967 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A man wearing a hat and a pink jacket holds a box that includes many photos of a woman, candles and lights.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Alfonso Ochoa Salas wears an altar for artist Yolanda López at the Mission Cultural Center for Latino Arts exhibit ‘Ni Tanto Ni Tan Muertos, En Nuestra Memoria — Neither So Many, Nor So Dead, in Our Memories,’ on the 35th annual Day of the Dead celebration at the center in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The 38th Día de los Muertos celebration in San Francisco drew hundreds of residents, artists and vendors to the streets, where many sought to honor those both dead and living.",
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"title": "'To Also Celebrate the Living': Día de los Muertos Returns to the Mission | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of residents filled the streets of the Mission District in San Francisco on Tuesday evening to honor and celebrate the dead on Día de los Muertos. The sidewalks of 24th Street, from Mission Street to Potrero Avenue, were packed with families, some holding candles, others wearing delicately crafted dresses, face paint and hair arrangements made out of cempasúchil, or marigolds.\u003c/p>\n\u003cfigure id=\"attachment_11894971\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894971 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A person wears an elaborate head garment, face paint and purple, ribboned dress as they dance in the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52348_030_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniela Zurita walks during Dia de los Muertos in San Francisco on Nov. 2, 2021, in memory of her mother who passed away in August due to COVID-19. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Photos and paintings of loved ones who had died were placed on tables or pinned on trees, surrounded by food, water, sage and cempasúchil.\u003c/p>\n\u003cp>On the corner of 24th and Capp streets, outside the Calle 24 Latino Cultural District building, a celebration honoring the lives of deceased womxn, queer and trans people of color, or QTPOC, and youth included dance performances by the the Mission-based Danza Azteca Mixcoatl Anahuac and readings by members of the Young Women’s Freedom Center.\u003c/p>\n\u003cp>(“\u003ca href=\"https://thebutlercollegian.com/2021/03/women-womxn-womyn/\">Womxn\u003c/a>” is an alternative spelling used to include those who feel excluded by the spellings “women” or “womyn,” particularly trans and nonbinary women.)\u003c/p>\n\u003cfigure id=\"attachment_11894963\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894963 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A person wearing traditional Aztec dance regalia lifts their hands up in prayer in front of a poster that shares some of the statistics on violence committed against women and queer and trans people of color.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52324_004_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A member of the group Danza Azteca Mixcoatl Anahuac opens a community healing vigil and living ofrenda celebration with a blessing outside Calle 24 on 24th and Capp streets in San Francisco on Nov. 2, 2021. The event honored the memory of womxn, QTPOC, and children lost to violence. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As has become tradition over the decades, musicians, artists and vendors gathered at intersections, parking lots and other available open space, transforming 24th Street into a living ofrenda — or place of offering — a powerful reminder that honoring the dead need not always be somber ritual, but also can be one of joy and creative expression.\u003c/p>\n\u003cfigure id=\"attachment_11894962\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894962 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A group of people carries a bright orange banner down the middle of a street.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52321_001_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group walks along 24th Street under colorful rows of papel picado while carrying a sign that says “38th Annual Dia de los Muertos San Francisco Mission District,” during a Day of the Dead celebration in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Día de los Muertos is not just about celebrating the dead, but to also celebrate the living,” Jorge Molina, a bearer of Indigenous knowledge and self-described “journeyman,” said after performing a blessing at the new Mission Cultural Center for Latino Arts exhibit, “Ni Tanto Ni Tan Muertos, En Nuestra Memoria — Neither So Many, Nor So Dead, in Our Memories.”\u003c/p>\n\u003cfigure id=\"attachment_11894964\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894964 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A woman wearing face paint and cemaspúchil in her hair sings to a crowd on the sidewalk.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52331_011_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Berta Hernández speaks during a community healing vigil and living ofrenda celebration on 24th and Capp streets in San Francisco on Nov. 2, 2021. The event honored the memory of womxn, QTPOC, and children lost to violence. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the vigil organized by Calle 24, Berta Hernández, a community health worker and educator, performed a spoken-word piece as part of a larger tribute to Evelyn Hernández, a San Francisco resident whose body was found floating in the Bay in 2002. Her young son, Alex, is still missing, \u003ca href=\"https://www.sanfranciscopolice.org/stay-safe/ongoing-investigations/homicides-and-cold-cases\">according to the San Francisco Police Department\u003c/a>.\u003c/p>\n\u003cp>Hernández first met Evelyn when the latter was a student in a youth theater group at the Mission Recreation Center in the mid-1990s. Evelyn was then 14 and had recently migrated from El Salvador. Over the years, Berta and her family grew very close with Evelyn, and were deeply affected by her death.\u003c/p>\n\u003cfigure id=\"attachment_11894972\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894972 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"Two people wear face paint and flowers in their hair and look at the camera.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52357_037_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Mariah Cativo (left) and Lucy Molina pause for a portrait as they walk along 24th Street in San Francisco’s Mission District during a Dia de los Muertos celebration on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That loss still hurts,” Hernández said in Spanish, noting that it has taken her 19 years to feel comfortable enough to “offer this small tribute.” She, along with others who knew Evelyn, performed a rendition of “Canción Sin Miedo,” an anthem that denounces gender-based violence and demands justice for femicides.\u003c/p>\n\u003cp>“Cantamos sin miedo, pedimos justicia. Gritamos por cada desaparecida. Que resuene fuerte ‘¡nos queremos vivas!’ Que caiga con fuerza el feminicida,” they sang. \u003cem>We sing without fear, we ask for justice. We yell for each woman that has dissappeared. Let it be heard that we want each of us alive and that there be an end to femicide.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11894973\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894973 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A collage of photos with pink, green, and yellow paper flowers stands next a small mortar that carries burning sage. A few candles are nearby.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52341_022_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">An altar made by the Young Women’s Freedom Center for people lost to police brutality and gender violence, as well as people who passed through the program, at a Dia de los Muertos celebration in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hernández pointed to the increase in cases of gender-based violence in the U.S. and Latin America during the pandemic, \u003ca href=\"https://apnews.com/article/pandemics-health-violence-coronavirus-cfb40ca690c9f556b742bd39e1e8e9b6\">especially against Indigenous and migrant women\u003c/a>, as one of the key reasons Evelyn’s death is especially relevant now. The vigil also honored the lives of multiple other Bay Area women who were victims of violence.\u003c/p>\n\u003cp>“Dia de Muertos is about the dead, yes,” Hernández said. “But at the same time, it always is a denuncia social — an act of resistance.”\u003c/p>\n\u003cfigure id=\"attachment_11894967\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11894967 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut.jpg\" alt=\"A man wearing a hat and a pink jacket holds a box that includes many photos of a woman, candles and lights.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/RS52344_025_SanFrancisco_DiadelosMuertos_11022021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Alfonso Ochoa Salas wears an altar for artist Yolanda López at the Mission Cultural Center for Latino Arts exhibit ‘Ni Tanto Ni Tan Muertos, En Nuestra Memoria — Neither So Many, Nor So Dead, in Our Memories,’ on the 35th annual Day of the Dead celebration at the center in San Francisco on Nov. 2, 2021. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "how-san-franciscos-street-overdose-response-team-is-trying-to-bring-clinical-care-to-the-streets",
"title": "San Francisco's Street Overdose Response Team Is Trying to Bring Clinical Care to the Streets",
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"headTitle": "San Francisco’s Street Overdose Response Team Is Trying to Bring Clinical Care to the Streets | KQED",
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"content": "\u003cp>It’s a sun-filled, fall day and Nicholas is strapped to an ambulance gurney near 8th and Market streets in downtown San Francisco, dazed and barely conscious. Plastic IV tubes snake around his left hand where L-O-V-E is tattooed just below his knuckles.\u003c/p>\n\u003cp>“Nicholas, try to wake up a little bit for me, come on,” paramedic Paula Fartash coaxes, as she unsuccessfully tries to rouse him.\u003c/p>\n\u003cp>Nicholas (we’re not using his last name because of the stigma of addiction) tells Fartash that when he started getting high in nearby U.N. Plaza park, he assumed he was smoking his drug of choice.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This gentleman thought that he was doing meth,” the veteran San Francisco Fire Department paramedic says. “And turned out he was actually doing fentanyl as well,” the synthetic opioid many times more powerful than heroin. “So he walked over to someone and they gave him some Narcan.”\u003c/p>\n\u003cp>That’s the brand name for naloxone, the emergency nasal spray drug used to try to reverse an otherwise potentially fatal overdose. That someone who administered a life-saving antidote was a nearby volunteer and street cleaner carrying Narcan, \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">part of a city-supported program\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11895057\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895057 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg\" alt=\"The inside of an ambulance, where only the arm and tattooed hand and a bit of the torso of someone who is receiving care is visible. The person receiving care has many tattoos.\" width=\"1224\" height=\"816\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-160x107.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">A man named Nicholas gets care in an ambulance after overdosing in San Francisco’s Civic Center. He told members of the emergency response team that when he started getting high, he assumed he was smoking meth. However, it turned out that he was unknowingly consuming fentanyl as well. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>San Francisco has among the highest per capita drug overdose death rates of any city in the U.S.\u003c/h3>\n\u003cp>Faced with a stunning rise in drug overdose deaths the last few years, the vast majority tied to fentanyl, San Francisco has launched mobile teams made up of paramedics and nurses. The new Street Overdose Response Team (SORT), a collaboration between the city’s health and fire departments, aims to deliver a broad range of support and care directly following an overdose.[aside postID=\"news_11890421\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/fentanylteststrips_annelisefinney-1020x765.jpg\"]“Fentanyl is a game changer,” \u003ca href=\"https://sfmayor.org/article/mayor-london-breed-announces-new-director-behavioral-health-services-and-mental-health-sf\">Dr. Hillary Kunins\u003c/a>, the city’s director of behavioral and mental health services, says of the opioid that’s 80 to 100 times stronger than morphine. “It requires a new way of thinking and resourcing.” It also, she says, “requires people to learn to work across disciplines and sometimes across organizations.”\u003c/p>\n\u003cp>Kunins previously led New York City’s response to its overdose and substance abuse crisis. She concedes they aren’t sure what combination of tools, ultimately, will work best here to not only reduce fentanyl- and other drug-related deaths but also to boost treatment success rates.\u003c/p>\n\u003cp>So the street overdose pilot project is part of a broad and ambitious strategy of interventions across city agencies.\u003c/p>\n\u003cp>“There is no single approach that’s going to solve this complex problem,” Kunins says. “What’s exciting and important about the work is that it is really part of a movement across the country to rethink how we address people who are at risk of overdose, who have ongoing other challenges: mental health, housing, food. And we must do this work to scale.”\u003c/p>\n\u003ch3>\u003cstrong>Fentanyl forced city officials to change how they approached harm reduction\u003c/strong>\u003c/h3>\n\u003cp>Capt. Michael Mason, a paramedic, is the fire department’s point person on the new program. As he races to the call for Nicholas’s overdose, he’s simultaneously coordinating with other paramedics.\u003c/p>\n\u003cp>“So starting directly at the scene of this overdose, we can start trying to direct this guy’s care in the best direction possible,” Mason says.[aside postID=\"news_11874651\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48996_006_MountainView_RobinDosskey_05122021-qut.jpg\"]That direct engagement could include helping to find a shelter bed, reaching out to friends or a doctor, helping with food or, most importantly, seeing if a person wants to start treatment with buprenorphine or suboxone, a medication-assisted therapy for opioid dependence.\u003c/p>\n\u003cp>“Get this individual suboxone, stabilize him at the [emergency department], by that afternoon they can be in a treatment program,” Mason says, “All in the context of a 911 incident.”\u003c/p>\n\u003cp>For many years San Francisco has championed a harm-reduction public health approach to lowering drug deaths and injury. The city, known for its relative tolerance of illicit drug use, was a trailblazer of clean syringe access and distribution of life-saving naloxone kits, as well as boosting access to the treatment drugs methadone and buprenorphine.\u003c/p>\n\u003cp>But when fentanyl hit hard here starting a few years ago, the overdose crisis spiraled and the city was forced to rethink its approach. Free Narcan and syringes weren’t enough.\u003c/p>\n\u003cp>“If fentanyl is in the drugs that you’re using, your risk of overdose triples,” Capt. Mason says, adding that the drug is now tainting most every street narcotic here: meth, cocaine, heroin and fake opioid pills.\u003c/p>\n\u003cfigure id=\"attachment_11895039\" class=\"wp-caption alignnone\" style=\"max-width: 1228px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895039 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg\" alt=\"A person knocks on the front door of an apartment on the second, outdoor floor of a multistory building.\" width=\"1228\" height=\"920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg 1228w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-160x120.jpg 160w\" sizes=\"auto, (max-width: 1228px) 100vw, 1228px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Department of Public Health nurses with the city’s new mobile outreach teams say following up with people who’ve recently survived a drug overdose is a key part of the program. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Surviving an overdose\u003c/h3>\n\u003cp>Pandemic isolation and lockdowns — people using alone with no one to administer life-saving Narcan — only partially explain the historic rise in overdose deaths here.\u003c/p>\n\u003cp>The \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">drug death rate, in fact, had been trending higher\u003c/a> well before that, city medical examiner data show. In mid-2018 the numbers began to skyrocket, reaching 441 deaths in 2019. And in 2020, \u003ca href=\"https://sf.gov/data/covid-19-cases-and-deaths#total-cases-and-deaths\">a whopping 712 people fatally overdosed\u003c/a>, more than double the number of people here who died from COVID-19 during that same period.\u003c/p>\n\u003cp>The vast majority of those deaths — almost three-quarters —involved fentanyl.\u003c/p>\n\u003cp>The death toll would have been even higher if not for \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">the wide availability of Narcan here\u003c/a>. Well over 3,000 people said they used Narcan in the city in 2020, a self-reported figure. Officials say the real figure is probably far higher.\u003c/p>\n\u003cp>But health and fire department officials here, Mason says, noticed something else important: Almost half of all who died of an overdose were treated or revived by a paramedic crew in the days or weeks before their deaths, a big signal they were headed for repeat trouble.\u003c/p>\n\u003cp>“Surviving a nonfatal overdose is one of the best predictors of future mortality. Anyone who survives a nonfatal overdose is a huge red flag for us, and that is what this program is about,” he says.\u003c/p>\n\u003cp>A key goal is trying to bring the clinic to the patients: rapid, face-to-face follow-up outreach on the street.\u003c/p>\n\u003cp>“We go out, we look for them, we say, ‘Hey, let’s talk about yesterday,'” says city health department nurse practitioner Kevin Lagor, as he drives through the Tenderloin neighborhood, where many of his clients live. He’s a program lead with SORT’s outreach arm.\u003c/p>\n\u003cp>The goal is to reach back out within 24 to 72 hours of an overdose to try to assist the person with everything from housing to treatment.\u003c/p>\n\u003cp>“That could be providing medical care to address their mental illness. Maybe they’re out of their meds, or maybe they want to start something to address their substance use disorder,” he says. “Just kind of, basically, meeting them where they are and seeing what they need and how we can help them.”\u003c/p>\n\u003cp>But to meet them where they are, the nurse teams first have to find them.\u003c/p>\n\u003cp>It’s a huge challenge. Many of them are unhoused, living in tents on the street or in and out of shelters.\u003c/p>\n\u003cp>The overdose and substance use disorder crisis is directly linked to the city’s epic struggles with homelessness and related challenges including mental illness. Almost 30% of all overdose deaths here are among people experiencing homelessness or people “with no fixed address.” \u003ca href=\"https://www.npr.org/2020/10/19/924146486/removing-cops-from-behavioral-crisis-calls-we-need-to-change-the-model\">SORT collaborates closely with the city’s other programs\u003c/a>, including street medicine and new mental health and homeless street crisis response units.\u003c/p>\n\u003cfigure id=\"attachment_11895030\" class=\"wp-caption aligncenter\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895030 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg\" alt=\"A person stands in the middle of a crosswalk looking up the street and at a row of tents on each sidewalk.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">People live in tents that line a side street in the Tenderloin District. More than 40% of all drug overdoses are in the Tenderloin and neighboring SoMa districts, according to city data. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City data shows that men were almost four times more likely to die of an accidental overdose than women. And unhoused people, older San Franciscans and communities of color were disproportionately affected by the death rate: Almost a quarter of all overdose deaths were among Black San Franciscans, who make up just under 6% of the city’s population.\u003c/p>\n\u003cp>More than 40% of all overdose deaths in the last year have been concentrated in two neighborhoods: the South of Market area and the Tenderloin, according to data from the city and county chief medical examiner’s office. Those areas make up just 7% of the city’s population.\u003c/p>\n\u003cp>While drug deaths hit every sector of society, many who overdosed were found in city-funded hotel rooms for unhoused residents and in apartment buildings for those with low incomes.\u003c/p>\n\u003cp>“We have to remember that this is a social crisis at the intersection, particularly in San Francisco, of a housing crisis, of a mental health crisis, of people living at the margins of society,” says Dr. Dan Ciccarone, a professor and researcher at University of California, San Francisco.\u003c/p>\n\u003cp>Open-air drug use and dealing in the Tenderloin, an area long challenged by poverty, homelessness and addiction crises, has only worsened during the pandemic. It’s common, day or night, to see people smoking or shooting up opioids or nodding out from drug use.\u003c/p>\n\u003cp>One 32-year-old man named Neil (we’re not using his last name because of the stigma of addiction) says he’s been living on the streets, mainly in the Tenderloin, for three years now.\u003c/p>\n\u003cp>He says he uses fentanyl “to take the edge off” of his depression and chronic stomach pain. He occasionally sells drugs, he says, to get money to support his habit. He soon crushes a small amount of fentanyl into a piece of tinfoil and begins to smoke the drug.\u003c/p>\n\u003cfigure id=\"attachment_11895055\" class=\"wp-caption alignnone\" style=\"max-width: 1229px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895055 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg\" alt=\"Two people wearing face masks stand outside a white van parked alongside a mural as they look through papers and plastic bags in their hands. It looks like early morning.\" width=\"1229\" height=\"921\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg 1229w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-160x120.jpg 160w\" sizes=\"auto, (max-width: 1229px) 100vw, 1229px\">\u003cfigcaption class=\"wp-caption-text\">City public health department nurses Kevin Lagor and Louise Bisby, part of new mobile outreach teams, get supplies out of their SUV to bring to people who have recently survived a drug overdose. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Follow-up work by nurses is full of challenges\u003c/h3>\n\u003cp>On a recent day, nurse Lagor has half a dozen clients listed on his clipboard. He can’t find a single person.\u003c/p>\n\u003cp>“So we’ll just kind of keep following up with the staff at the shelter,” he says in the lobby of one facility, having been unable to find a client.\u003c/p>\n\u003cp>The same happens at a makeshift tent encampment behind a local Best Buy.\u003c/p>\n\u003cp>Outside another shelter, Lagor and his team strike out again trying to find a young man they thought they were making progress with. They’d recently written him a prescription for a supply of buprenorphine.\u003c/p>\n\u003cp>“He hasn’t been here in a couple of days,” Lagor says, disappointed.\u003c/p>\n\u003cp>“It is a bad sign. Sometimes folks disappear for a couple days and then resurface,” he says. “Then they disappear, or it just falls apart.”\u003c/p>\n\u003cp>And when it all falls apart, it can hit Lagor and the rest of his team hard.\u003c/p>\n\u003cp>“It’s a lot of death and they’re not strangers. You know, we’ve had a couple of deaths this week and we’ve, we shed tears together,” Lagor says. “It’s hard not to care about someone when you’re really trying to help them.”\u003c/p>\n\u003cp>Addiction and public health experts say these mobile, nonpolice teams mark a much-needed pivot for the city.\u003c/p>\n\u003cp>“It’s bold and it’s innovative. I like it,” says Ciccarone, a professor of medicine at UC San Francisco and a leading expert on drug use, people who use drugs and heroin. “We need to bring in some innovations here because fentanyl is a wild card and it has caught us all by surprise. That’s what we need to do in a crisis situation: Think creatively.”\u003c/p>\n\u003cp>But Ciccarone cautions that the ravages of fentanyl and its complex stew of related challenges mean the city needs to scale up this new street overdose response program and continue to try to break down obstacles to treatment that include bureaucratic silos, turf battles and funding woes.\u003c/p>\n\u003cp>“It’s definitely not enough,” he says. “We have to make sure that harm reduction is adequately funded, that our mental health system, our substance treatment system, our housing systems are adequately funded.”\u003c/p>\n\u003cp>So far, just two months since the program’s launch, 10% of those encountered by the SORT teams who’ve overdosed are now getting medication-assisted treatment for opioid use disorder. That includes buprenorphine or suboxone in collaboration with city’s street medicine nurses.\u003c/p>\n\u003cp>“I’m proud of that number,” Capt. Mason says, “and I very much look forward to increasing that.”\u003c/p>\n\u003cp>To get that number even higher, the fire department has applied to the state EMS agency to allow paramedics to more easily administer and prescribe those treatment drugs directly in the field.\u003c/p>\n\u003cp>Despite a recent slight drop in monthly fatalities the city looks to end 2021 with \u003ca href=\"https://sf.gov/sites/default/files/2021-10/2021%2010_OCME%20Overdose%20Report.pdf\">more than 700 overdose deaths for the second year in a row.\u003c/a> Unfortunately, Kunins, the city’s director of behavioral health services, says San Francisco is “on track to continue this really tragic loss of life.”\u003c/p>\n\u003cfigure id=\"attachment_11895040\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895040 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg\" alt=\"A uniformed man in black pants, black boots, and a white short-sleeved shirt with a red-and-yellow insignia sewn on the sleeve opens the back door of an ambulance parked in the middle of a street.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">Fire Department Capt. Michael Mason with the city’s Street Overdose Response Team arrives at the scene of a reported drug overdose in downtown San Francisco. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Paramedics on the team look for small victories\u003c/h3>\n\u003cp>Back on the street, another call comes in from the 911 dispatcher for a possible overdose. A middle-aged woman has been found slumped over in a McDonald’s bathroom across town in the Fillmore district.\u003c/p>\n\u003cp>Capt. Mason’s occasional staccato siren squawks aren’t working on a handful of drivers and pedestrians in heavy rush-hour traffic. So he hits his lights and sirens full bore.\u003c/p>\n\u003cp>When they arrive, the woman tells the paramedics she has relapsed after several months of sobriety.\u003c/p>\n\u003cp>The heroin she bought, Mason says, was likely laced with fentanyl. Narcan saved her.\u003c/p>\n\u003cp>Inside the ambulance, Mason says, the woman handed paramedics a crumpled, greasy brown fast-food bag and asked that they get rid of it.\u003c/p>\n\u003cp>“There were some clean syringes in there and what appeared to be small bags of heroin,” he says.\u003c/p>\n\u003cp>Mason finds out she was already part of a medication-assisted treatment program using suboxone. He says she told them that she wants to get sober again.\u003c/p>\n\u003cp>“She was feeling extreme shame from experiencing a relapse,” he says. “Substance use disorder impacts millions of Americans. There’s no shame in having a relapse.”\u003c/p>\n\u003cp>He hopes she restarts her suboxone treatment quickly.\u003c/p>\n\u003cp>“As for today,” Mason says, “and as for surrendering those items and requesting they be disposed of, my hat’s off to her.”\u003c/p>\n\u003cp>The paramedics and nurses involved in this pilot project are dedicated to this difficult work. But all say working across multiple city agencies, treatment centers, health providers and nonprofits can be exhausting.\u003c/p>\n\u003cp>“It’s complicated,” Mason says with a sigh, “it takes work from dozens of folks in a single encounter.”\u003c/p>\n\u003cp>How does he handle the strain of 12-hour shifts filled racing from overdose to overdose, including to some who seemingly don’t want help and others who don’t survive?\u003c/p>\n\u003cp>“For my own mental health, I have to kind of remain an optimistic warrior,” he says, driving his fire department pickup through rush hour traffic. “There’s a quote in the Talmud that says — I won’t get it exactly right — but essentially says, ‘You don’t have to end this work, but you do have to start it.'”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Facing an unprecedented increase in overdose deaths, specifically due to fentanyl, emergency response teams in San Francisco are working together to offer a broad range of support directly following an overdose.",
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"title": "San Francisco's Street Overdose Response Team Is Trying to Bring Clinical Care to the Streets | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s a sun-filled, fall day and Nicholas is strapped to an ambulance gurney near 8th and Market streets in downtown San Francisco, dazed and barely conscious. Plastic IV tubes snake around his left hand where L-O-V-E is tattooed just below his knuckles.\u003c/p>\n\u003cp>“Nicholas, try to wake up a little bit for me, come on,” paramedic Paula Fartash coaxes, as she unsuccessfully tries to rouse him.\u003c/p>\n\u003cp>Nicholas (we’re not using his last name because of the stigma of addiction) tells Fartash that when he started getting high in nearby U.N. Plaza park, he assumed he was smoking his drug of choice.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This gentleman thought that he was doing meth,” the veteran San Francisco Fire Department paramedic says. “And turned out he was actually doing fentanyl as well,” the synthetic opioid many times more powerful than heroin. “So he walked over to someone and they gave him some Narcan.”\u003c/p>\n\u003cp>That’s the brand name for naloxone, the emergency nasal spray drug used to try to reverse an otherwise potentially fatal overdose. That someone who administered a life-saving antidote was a nearby volunteer and street cleaner carrying Narcan, \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">part of a city-supported program\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11895057\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895057 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg\" alt=\"The inside of an ambulance, where only the arm and tattooed hand and a bit of the torso of someone who is receiving care is visible. The person receiving care has many tattoos.\" width=\"1224\" height=\"816\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-160x107.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">A man named Nicholas gets care in an ambulance after overdosing in San Francisco’s Civic Center. He told members of the emergency response team that when he started getting high, he assumed he was smoking meth. However, it turned out that he was unknowingly consuming fentanyl as well. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>San Francisco has among the highest per capita drug overdose death rates of any city in the U.S.\u003c/h3>\n\u003cp>Faced with a stunning rise in drug overdose deaths the last few years, the vast majority tied to fentanyl, San Francisco has launched mobile teams made up of paramedics and nurses. The new Street Overdose Response Team (SORT), a collaboration between the city’s health and fire departments, aims to deliver a broad range of support and care directly following an overdose.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Fentanyl is a game changer,” \u003ca href=\"https://sfmayor.org/article/mayor-london-breed-announces-new-director-behavioral-health-services-and-mental-health-sf\">Dr. Hillary Kunins\u003c/a>, the city’s director of behavioral and mental health services, says of the opioid that’s 80 to 100 times stronger than morphine. “It requires a new way of thinking and resourcing.” It also, she says, “requires people to learn to work across disciplines and sometimes across organizations.”\u003c/p>\n\u003cp>Kunins previously led New York City’s response to its overdose and substance abuse crisis. She concedes they aren’t sure what combination of tools, ultimately, will work best here to not only reduce fentanyl- and other drug-related deaths but also to boost treatment success rates.\u003c/p>\n\u003cp>So the street overdose pilot project is part of a broad and ambitious strategy of interventions across city agencies.\u003c/p>\n\u003cp>“There is no single approach that’s going to solve this complex problem,” Kunins says. “What’s exciting and important about the work is that it is really part of a movement across the country to rethink how we address people who are at risk of overdose, who have ongoing other challenges: mental health, housing, food. And we must do this work to scale.”\u003c/p>\n\u003ch3>\u003cstrong>Fentanyl forced city officials to change how they approached harm reduction\u003c/strong>\u003c/h3>\n\u003cp>Capt. Michael Mason, a paramedic, is the fire department’s point person on the new program. As he races to the call for Nicholas’s overdose, he’s simultaneously coordinating with other paramedics.\u003c/p>\n\u003cp>“So starting directly at the scene of this overdose, we can start trying to direct this guy’s care in the best direction possible,” Mason says.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That direct engagement could include helping to find a shelter bed, reaching out to friends or a doctor, helping with food or, most importantly, seeing if a person wants to start treatment with buprenorphine or suboxone, a medication-assisted therapy for opioid dependence.\u003c/p>\n\u003cp>“Get this individual suboxone, stabilize him at the [emergency department], by that afternoon they can be in a treatment program,” Mason says, “All in the context of a 911 incident.”\u003c/p>\n\u003cp>For many years San Francisco has championed a harm-reduction public health approach to lowering drug deaths and injury. The city, known for its relative tolerance of illicit drug use, was a trailblazer of clean syringe access and distribution of life-saving naloxone kits, as well as boosting access to the treatment drugs methadone and buprenorphine.\u003c/p>\n\u003cp>But when fentanyl hit hard here starting a few years ago, the overdose crisis spiraled and the city was forced to rethink its approach. Free Narcan and syringes weren’t enough.\u003c/p>\n\u003cp>“If fentanyl is in the drugs that you’re using, your risk of overdose triples,” Capt. Mason says, adding that the drug is now tainting most every street narcotic here: meth, cocaine, heroin and fake opioid pills.\u003c/p>\n\u003cfigure id=\"attachment_11895039\" class=\"wp-caption alignnone\" style=\"max-width: 1228px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895039 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg\" alt=\"A person knocks on the front door of an apartment on the second, outdoor floor of a multistory building.\" width=\"1228\" height=\"920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg 1228w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-160x120.jpg 160w\" sizes=\"auto, (max-width: 1228px) 100vw, 1228px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Department of Public Health nurses with the city’s new mobile outreach teams say following up with people who’ve recently survived a drug overdose is a key part of the program. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Surviving an overdose\u003c/h3>\n\u003cp>Pandemic isolation and lockdowns — people using alone with no one to administer life-saving Narcan — only partially explain the historic rise in overdose deaths here.\u003c/p>\n\u003cp>The \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">drug death rate, in fact, had been trending higher\u003c/a> well before that, city medical examiner data show. In mid-2018 the numbers began to skyrocket, reaching 441 deaths in 2019. And in 2020, \u003ca href=\"https://sf.gov/data/covid-19-cases-and-deaths#total-cases-and-deaths\">a whopping 712 people fatally overdosed\u003c/a>, more than double the number of people here who died from COVID-19 during that same period.\u003c/p>\n\u003cp>The vast majority of those deaths — almost three-quarters —involved fentanyl.\u003c/p>\n\u003cp>The death toll would have been even higher if not for \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">the wide availability of Narcan here\u003c/a>. Well over 3,000 people said they used Narcan in the city in 2020, a self-reported figure. Officials say the real figure is probably far higher.\u003c/p>\n\u003cp>But health and fire department officials here, Mason says, noticed something else important: Almost half of all who died of an overdose were treated or revived by a paramedic crew in the days or weeks before their deaths, a big signal they were headed for repeat trouble.\u003c/p>\n\u003cp>“Surviving a nonfatal overdose is one of the best predictors of future mortality. Anyone who survives a nonfatal overdose is a huge red flag for us, and that is what this program is about,” he says.\u003c/p>\n\u003cp>A key goal is trying to bring the clinic to the patients: rapid, face-to-face follow-up outreach on the street.\u003c/p>\n\u003cp>“We go out, we look for them, we say, ‘Hey, let’s talk about yesterday,'” says city health department nurse practitioner Kevin Lagor, as he drives through the Tenderloin neighborhood, where many of his clients live. He’s a program lead with SORT’s outreach arm.\u003c/p>\n\u003cp>The goal is to reach back out within 24 to 72 hours of an overdose to try to assist the person with everything from housing to treatment.\u003c/p>\n\u003cp>“That could be providing medical care to address their mental illness. Maybe they’re out of their meds, or maybe they want to start something to address their substance use disorder,” he says. “Just kind of, basically, meeting them where they are and seeing what they need and how we can help them.”\u003c/p>\n\u003cp>But to meet them where they are, the nurse teams first have to find them.\u003c/p>\n\u003cp>It’s a huge challenge. Many of them are unhoused, living in tents on the street or in and out of shelters.\u003c/p>\n\u003cp>The overdose and substance use disorder crisis is directly linked to the city’s epic struggles with homelessness and related challenges including mental illness. Almost 30% of all overdose deaths here are among people experiencing homelessness or people “with no fixed address.” \u003ca href=\"https://www.npr.org/2020/10/19/924146486/removing-cops-from-behavioral-crisis-calls-we-need-to-change-the-model\">SORT collaborates closely with the city’s other programs\u003c/a>, including street medicine and new mental health and homeless street crisis response units.\u003c/p>\n\u003cfigure id=\"attachment_11895030\" class=\"wp-caption aligncenter\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895030 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg\" alt=\"A person stands in the middle of a crosswalk looking up the street and at a row of tents on each sidewalk.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">People live in tents that line a side street in the Tenderloin District. More than 40% of all drug overdoses are in the Tenderloin and neighboring SoMa districts, according to city data. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City data shows that men were almost four times more likely to die of an accidental overdose than women. And unhoused people, older San Franciscans and communities of color were disproportionately affected by the death rate: Almost a quarter of all overdose deaths were among Black San Franciscans, who make up just under 6% of the city’s population.\u003c/p>\n\u003cp>More than 40% of all overdose deaths in the last year have been concentrated in two neighborhoods: the South of Market area and the Tenderloin, according to data from the city and county chief medical examiner’s office. Those areas make up just 7% of the city’s population.\u003c/p>\n\u003cp>While drug deaths hit every sector of society, many who overdosed were found in city-funded hotel rooms for unhoused residents and in apartment buildings for those with low incomes.\u003c/p>\n\u003cp>“We have to remember that this is a social crisis at the intersection, particularly in San Francisco, of a housing crisis, of a mental health crisis, of people living at the margins of society,” says Dr. Dan Ciccarone, a professor and researcher at University of California, San Francisco.\u003c/p>\n\u003cp>Open-air drug use and dealing in the Tenderloin, an area long challenged by poverty, homelessness and addiction crises, has only worsened during the pandemic. It’s common, day or night, to see people smoking or shooting up opioids or nodding out from drug use.\u003c/p>\n\u003cp>One 32-year-old man named Neil (we’re not using his last name because of the stigma of addiction) says he’s been living on the streets, mainly in the Tenderloin, for three years now.\u003c/p>\n\u003cp>He says he uses fentanyl “to take the edge off” of his depression and chronic stomach pain. He occasionally sells drugs, he says, to get money to support his habit. He soon crushes a small amount of fentanyl into a piece of tinfoil and begins to smoke the drug.\u003c/p>\n\u003cfigure id=\"attachment_11895055\" class=\"wp-caption alignnone\" style=\"max-width: 1229px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895055 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg\" alt=\"Two people wearing face masks stand outside a white van parked alongside a mural as they look through papers and plastic bags in their hands. It looks like early morning.\" width=\"1229\" height=\"921\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg 1229w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-160x120.jpg 160w\" sizes=\"auto, (max-width: 1229px) 100vw, 1229px\">\u003cfigcaption class=\"wp-caption-text\">City public health department nurses Kevin Lagor and Louise Bisby, part of new mobile outreach teams, get supplies out of their SUV to bring to people who have recently survived a drug overdose. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Follow-up work by nurses is full of challenges\u003c/h3>\n\u003cp>On a recent day, nurse Lagor has half a dozen clients listed on his clipboard. He can’t find a single person.\u003c/p>\n\u003cp>“So we’ll just kind of keep following up with the staff at the shelter,” he says in the lobby of one facility, having been unable to find a client.\u003c/p>\n\u003cp>The same happens at a makeshift tent encampment behind a local Best Buy.\u003c/p>\n\u003cp>Outside another shelter, Lagor and his team strike out again trying to find a young man they thought they were making progress with. They’d recently written him a prescription for a supply of buprenorphine.\u003c/p>\n\u003cp>“He hasn’t been here in a couple of days,” Lagor says, disappointed.\u003c/p>\n\u003cp>“It is a bad sign. Sometimes folks disappear for a couple days and then resurface,” he says. “Then they disappear, or it just falls apart.”\u003c/p>\n\u003cp>And when it all falls apart, it can hit Lagor and the rest of his team hard.\u003c/p>\n\u003cp>“It’s a lot of death and they’re not strangers. You know, we’ve had a couple of deaths this week and we’ve, we shed tears together,” Lagor says. “It’s hard not to care about someone when you’re really trying to help them.”\u003c/p>\n\u003cp>Addiction and public health experts say these mobile, nonpolice teams mark a much-needed pivot for the city.\u003c/p>\n\u003cp>“It’s bold and it’s innovative. I like it,” says Ciccarone, a professor of medicine at UC San Francisco and a leading expert on drug use, people who use drugs and heroin. “We need to bring in some innovations here because fentanyl is a wild card and it has caught us all by surprise. That’s what we need to do in a crisis situation: Think creatively.”\u003c/p>\n\u003cp>But Ciccarone cautions that the ravages of fentanyl and its complex stew of related challenges mean the city needs to scale up this new street overdose response program and continue to try to break down obstacles to treatment that include bureaucratic silos, turf battles and funding woes.\u003c/p>\n\u003cp>“It’s definitely not enough,” he says. “We have to make sure that harm reduction is adequately funded, that our mental health system, our substance treatment system, our housing systems are adequately funded.”\u003c/p>\n\u003cp>So far, just two months since the program’s launch, 10% of those encountered by the SORT teams who’ve overdosed are now getting medication-assisted treatment for opioid use disorder. That includes buprenorphine or suboxone in collaboration with city’s street medicine nurses.\u003c/p>\n\u003cp>“I’m proud of that number,” Capt. Mason says, “and I very much look forward to increasing that.”\u003c/p>\n\u003cp>To get that number even higher, the fire department has applied to the state EMS agency to allow paramedics to more easily administer and prescribe those treatment drugs directly in the field.\u003c/p>\n\u003cp>Despite a recent slight drop in monthly fatalities the city looks to end 2021 with \u003ca href=\"https://sf.gov/sites/default/files/2021-10/2021%2010_OCME%20Overdose%20Report.pdf\">more than 700 overdose deaths for the second year in a row.\u003c/a> Unfortunately, Kunins, the city’s director of behavioral health services, says San Francisco is “on track to continue this really tragic loss of life.”\u003c/p>\n\u003cfigure id=\"attachment_11895040\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895040 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg\" alt=\"A uniformed man in black pants, black boots, and a white short-sleeved shirt with a red-and-yellow insignia sewn on the sleeve opens the back door of an ambulance parked in the middle of a street.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">Fire Department Capt. Michael Mason with the city’s Street Overdose Response Team arrives at the scene of a reported drug overdose in downtown San Francisco. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Paramedics on the team look for small victories\u003c/h3>\n\u003cp>Back on the street, another call comes in from the 911 dispatcher for a possible overdose. A middle-aged woman has been found slumped over in a McDonald’s bathroom across town in the Fillmore district.\u003c/p>\n\u003cp>Capt. Mason’s occasional staccato siren squawks aren’t working on a handful of drivers and pedestrians in heavy rush-hour traffic. So he hits his lights and sirens full bore.\u003c/p>\n\u003cp>When they arrive, the woman tells the paramedics she has relapsed after several months of sobriety.\u003c/p>\n\u003cp>The heroin she bought, Mason says, was likely laced with fentanyl. Narcan saved her.\u003c/p>\n\u003cp>Inside the ambulance, Mason says, the woman handed paramedics a crumpled, greasy brown fast-food bag and asked that they get rid of it.\u003c/p>\n\u003cp>“There were some clean syringes in there and what appeared to be small bags of heroin,” he says.\u003c/p>\n\u003cp>Mason finds out she was already part of a medication-assisted treatment program using suboxone. He says she told them that she wants to get sober again.\u003c/p>\n\u003cp>“She was feeling extreme shame from experiencing a relapse,” he says. “Substance use disorder impacts millions of Americans. There’s no shame in having a relapse.”\u003c/p>\n\u003cp>He hopes she restarts her suboxone treatment quickly.\u003c/p>\n\u003cp>“As for today,” Mason says, “and as for surrendering those items and requesting they be disposed of, my hat’s off to her.”\u003c/p>\n\u003cp>The paramedics and nurses involved in this pilot project are dedicated to this difficult work. But all say working across multiple city agencies, treatment centers, health providers and nonprofits can be exhausting.\u003c/p>\n\u003cp>“It’s complicated,” Mason says with a sigh, “it takes work from dozens of folks in a single encounter.”\u003c/p>\n\u003cp>How does he handle the strain of 12-hour shifts filled racing from overdose to overdose, including to some who seemingly don’t want help and others who don’t survive?\u003c/p>\n\u003cp>“For my own mental health, I have to kind of remain an optimistic warrior,” he says, driving his fire department pickup through rush hour traffic. “There’s a quote in the Talmud that says — I won’t get it exactly right — but essentially says, ‘You don’t have to end this work, but you do have to start it.'”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "covid-vaccines-kids-why-doctors-say-dont-wait-and-other-faqs",
"title": "COVID Vaccines and Kids: Why Doctors Say Don't Wait, and Other FAQ",
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"content": "\u003cp>\u003cem>This story will be updated as more of your questions come in. \u003ca href=\"#ask\">Tell us what you need to know.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11894546/pfizer-covid-vaccine-kids-5-11-near-me\">Pediatric COVID vaccines for kids age 5-11\u003c/a> are finally here. And naturally, parents and caregivers have a lot of questions when it comes to vaccinating their children.\u003c/p>\n\u003cp>We talked to pediatricians and looked at the data to provide answers to common questions on families’ minds right now.\u003c/p>\n\u003cp>\u003cstrong>Skip to the answers for common questions:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#impact\">How does getting COVID actually affect kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#efficacy\">How well does the COVID-19 vaccine work for kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#sideeffects\">What are the common side effects, and which should I worry about?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#wait\">Should I wait to vaccinate my kid?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#eleven\">If my kid is 11, should we wait to get them the higher, adult dose at age 12?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Don’t see your question answered in this story? \u003ca href=\"#ask\">Send us your question.\u003c/a>\u003c/p>\n\u003ch3>\u003ca id=\"impact\">\u003c/a>I’ve heard COVID is mild for most kids. Do they really need to be vaccinated?\u003c/h3>\n\u003cp>It’s true that most children infected with the virus have only mild symptoms and that children rarely die from the disease. But scientists and health officials recommending the shot emphasize that vaccination could prevent many infections, as well as disruptions to schooling, hospitalizations and rare but severe complications of the disease.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2021-11-2-3/03-COVID-Jefferson-508.pdf\">More than 8,300\u003c/a> kids age 5 to 11 have been hospitalized with COVID-19 because of serious illness. According to a CDC analysis, the number of children and adolescents \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm\">admitted to the hospital increased nearly fivefold\u003c/a> over the summer months amid the delta surge.\u003cspan style=\"font-weight: 400\">[aside postID=news_11894546 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52294_GettyImages-1234717012-qut.jpg']\u003c/span>\u003c/p>\n\u003cp>In addition, more than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#mis-national-surveillance\">5,200 children and teens have developed MIS-C\u003c/a>, or multisystem inflammatory syndrome in children, a condition linked to COVID-19 that often leads to ICU admission. The median age of kids getting MIS-C is 9 years old.\u003c/p>\n\u003cp>It’s hard to predict which kids who get COVID-19 will be struck with severe COVID-19 or MIS-C. In one \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2778347\">CDC analysis of hospitalization records\u003c/a>, roughly 30% of kids hospitalized with COVID-19 had no underlying health conditions that would have put them at increased risk.\u003c/p>\n\u003cp>“Everything about this virus is unpredictable,” says \u003ca href=\"https://providerdirectory.uabmedicine.org/provider/David+Kimberlin/570550\">Dr. David Kimberlin\u003c/a>, an infectious disease pediatrician at the University of Alabama at Birmingham. “And we need to do everything we can to protect ourselves and to protect our children against what this virus is very capable of doing.”\u003c/p>\n\u003cp>Black, Native American and Latino children were three times more likely to be hospitalized than white children, \u003ca href=\"https://www.fda.gov/media/153508/download\">according to the CDC\u003c/a>.\u003c/p>\n\u003cp>At least \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#demographics\">791 children have died \u003c/a>from COVID-19, including 172 children age 5 to 11. “I have sat beside the bed of patients who are struggling to breathe,” says Kimberlin. His hospital has treated many adolescents who were old enough to be vaccinated but hadn’t been and then ended up on ventilators or ECMO, extracorporeal membrane oxygenation. In this situation, he says, parents are grieving. “And in the back of their mind, they also know [it] could have been prevented,” Kimberlin says.\u003c/p>\n\u003cp>For some clinicians, the argument for vaccination comes down to the idea that no child should ever die from a disease that could have been prevented by simply getting a shot. “COVID-19 is now a vaccine-preventable disease from my perspective,” said \u003ca href=\"https://www.fda.gov/media/136851/download\">Dr. Amanda Cohn\u003c/a>, during last week’s FDA advisory committee that voted in favor of authorizing the vaccine for younger kids.\u003c/p>\n\u003cp>“It’s the \u003ca href=\"https://www.fda.gov/media/153508/download\">eighth highest killer\u003c/a> of kids in this age group over the past year,” Cohn said. “The use of this vaccine will prevent deaths, ICU admissions and will prevent significant long-term adverse outcomes in children.”\u003c/p>\n\u003ch3>\u003ca id=\"efficacy\">\u003c/a>How well does the COVID-19 vaccine work for kids?\u003c/h3>\n\u003cp>A clinical trial conducted by Pfizer and BioNTech studied a 10-microgram vaccine dose in children age 5 to 11. This is a third of the dose given to adults and children 12 and older. The lower dose was chosen to minimize side effects but still prompt a strong immune response, according to the vaccine makers.\u003c/p>\n\u003cp>The data the drug companies presented to the FDA showed that the vaccine was 90.7% effective against symptomatic COVID-19. The antibody response to the vaccine was comparable to the one seen in people 16 to 25 years old.\u003c/p>\n\u003cp>Pediatricians also point to real-world data on the effectiveness of the vaccines in 12- to 17-year-olds. Amid the recent delta surge, hospitalization rates were \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm\">about 10 times higher\u003c/a> in unvaccinated adolescents than vaccinated ones, according to a recent CDC analysis.\u003c/p>\n\u003ch3>\u003ca id=\"sideeffects\">\u003c/a>What are the common side effects?\u003c/h3>\n\u003cp>No new safety problems were identified in the companies’ studies of this vaccine.\u003c/p>\n\u003cp>The most \u003ca href=\"https://www.fda.gov/media/153510/download\">common side effects\u003c/a> documented in the study were similar to those other age groups have had with COVID-19 vaccines. The most common were pain at the injection site, fatigue and headache and muscle aches. Kids who get the vaccine feel “ultimately fine in two or three days,” says \u003ca href=\"https://www.dukehealth.org/find-doctors-physicians/ibukunoluwa-c-kalu-md\">Dr. Ibukunoluwa Kalu\u003c/a>, a pediatrician and infectious disease specialist at Duke University.\u003c/p>\n\u003cp>When it comes to rare immediate allergic reactions to the COVID-19 vaccine, UCSF infectious disease specialist Dr. Peter Chin-Hong says there are already checks in place to catch these: namely, the 15-minute observation period after your child’s COVID vaccination, during which you and your child will be asked to stay at the vaccination site.\u003c/p>\n\u003cp>Back at home, at what point should a parent or caregiver call a child’s pediatrician about side effects after the COVID vaccine? Chin-Hong says to look for symptoms that persist for more than a day and get worse, not better — especially if it’s a fever.\u003c/p>\n\u003ch3>Should I be concerned about serious side effects, especially myocarditis?\u003c/h3>\n\u003cp>In very rare cases, following vaccination with mRNA vaccines made by Pfizer and Moderna, people have developed inflammation of the heart muscle, which is known as myocarditis. In Pfizer’s clinical trial for 5- to 11-year-olds, there were no cases of myocarditis, although the company acknowledged that the trials were not big enough to pick up such rare events.\u003c/p>\n\u003cp>Myocarditis after vaccination is “very, very rare,” explains Kimberlin. And it’s usually short-lived. In most instances, adolescents who’ve developed myocarditis have improved quickly. “The management of it usually is taking some ibuprofen — some Advil,” Kimberlin says.\u003c/p>\n\u003cp>Rates of post-vaccination myocarditis are expected to be lower in young kids than those observed in teens. Myocarditis, which can also occur after bacterial and viral infections, including COVID-19, is generally significantly less common among younger children. That’s partly because the condition is linked with puberty hormones, explains pediatrician \u003ca href=\"https://drnicolebaldwin.com/\">Nicole Baldwin\u003c/a>, who practices in Cincinnati.\u003c/p>\n\u003cp>And the smaller dose size for younger kids may also reduce the risk, Kalu adds. “The physiology behind why they saw some of the post-vaccine myocarditis seems to be related to how the immune system is reacting to the vaccine. It’s mounting a protective level of antibody, but maybe a little overzealous in those efforts,” she says.\u003c/p>\n\u003cp>Of 877 reports of vaccine-related myocarditis in people under 30, no deaths have been confirmed, according to data presented at the CDC’s advisory meeting Tuesday. Dr. Matthew Oster, who studies myocarditis for the CDC and is a pediatric cardiologist at Children’s Healthcare of Atlanta, explained that COVID-19 itself can cause myocarditis and other heart-related issues, as well as MIS-C, which often affects the heart.\u003c/p>\n\u003cp>“The bottom line is, getting COVID, I think, is much riskier to the heart than getting this vaccine,” Oster said.\u003c/p>\n\u003ch3>\u003ca id=\"wait\">\u003c/a>Can’t I just wait a bit to see how vaccinations go before I vaccinate my kid?\u003c/h3>\n\u003cp>Many pediatricians urge parents not to wait — first of all because their children will still be at risk for getting sick from COVID-19. “You can’t wait until millions and millions of doses are given before you decide, because this virus is going to take every opportunity it can to infect someone,” says \u003ca href=\"https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=17154\">Dr. Tina Tan\u003c/a>, pediatrician and infectious disease specialist at Northwestern and Lurie Children’s Hospital of Chicago.\u003c/p>\n\u003cp>Even though COVID-19 cases are trending downward, 90% of counties in the U.S. are still classified by the CDC as \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#county-view\">having “high” or “substantial” viral spread\u003c/a>.\u003c/p>\n\u003cp>“Because the delta variant is that much more transmissible, kids can get delta and can get quite sick from it,” says Tan. “You cannot predict — in a normal healthy child — who’s going to get very sick and who’s not. [Vaccinating] is the best way to protect your child against getting severe COVID illness.”\u003c/p>\n\u003cp>Acting FDA Commissioner Janet Woodcock made a similar point when she was asked about parents who wanted to wait to vaccinate their kids in a \u003ca href=\"https://www.youtube.com/watch?v=WLbGnS-kqTY\">press conference Friday\u003c/a>. “As a parent, if I had young children in this age group, I would get them vaccinated now,” she said.\u003c/p>\n\u003ch3>Are there some kids who might be at higher risk and want to hurry to get vaccinated?\u003c/h3>\n\u003cp>Certain families should consider getting in the front of the line for shots, Kalu says.\u003c/p>\n\u003cp>One group that should not delay, she says, are “kids that have conditions that may put them at higher risk for severe disease — and that could be as simple as obesity, chronic respiratory conditions, maybe even kidney disease or high blood pressure.”\u003c/p>\n\u003cp>For families with babies or grandparents or other vulnerable people — like an immunocompromised family member — at home, vaccinating your young children as soon as they’re eligible will help keep those people safe.\u003c/p>\n\u003cp>And if you live in an area where the weather is getting chilly, that’s going to mean people being indoors more often, which raises your risk of catching COVID-19.\u003c/p>\n\u003cp>Especially if you are having family members or friends in for the holidays, keep in mind that “it is safer to gather in a fully vaccinated environment than not,” Kalu says. “So even in just the interest of keeping your small community safe as you gather over the holidays, it may be good to get kids vaccinated prior to that.”\u003c/p>\n\u003cp>Baldwin agrees. “If we’re getting these kids vaccinated now before they go hug Grandma and Grandpa [during the holidays], that can offer additional protection to our more vulnerable population,” she says.\u003c/p>\n\u003ch3>If my child already had COVID-19, do they need this shot? Don’t they have immunity?\u003c/h3>\n\u003cp>Even for kids who’ve already had COVID-19, pediatricians say it’s still beneficial to get the vaccine. “We don’t yet really understand the duration of immunity when it comes to kids,” Baldwin explains. Often kids get mild infections, so “we don’t know what that correlates to in terms of antibody levels and how long [they are] going to be protected,” she says.\u003c/p>\n\u003cp>For kids who’ve had a very recent COVID-19 infection, she says, she understands why parents may not be the first to rush out and get the vaccine. It’s probable that their children have immunity in the months following the illness. But, ultimately, she says the vaccine is the best way to ensure strong and lasting protection against the virus.\u003c/p>\n\u003cp>Some parents might be tempted to get their child’s antibody levels tested, but Dr. Kate Russell Woodworth, a medical epidemiologist with the CDC, said at a CDC advisers’ meeting Tuesday that those tests aren’t a reliable way to determine whether a person is protected from reinfection. The CDC \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html\">recommends against\u003c/a> using them for vaccination decisions.\u003c/p>\n\u003ch3>\u003ca id=\"eleven\">\u003c/a>If my kid is 11, should we wait to get them the higher, adult dose at age 12?\u003c/h3>\n\u003cp>“I would not advise waiting,” says Baldwin. “I think it’s important for parents to understand [that in clinical trials] the lower dosage provided as robust an immune response as the higher dosage did in older kids with less side effects.”\u003c/p>\n\u003cp>Baldwin says if your child has a 12th birthday coming up very soon, she says it’s OK to wait, but the dose provided in the children’s formulation is enough to protect them from the virus.\u003c/p>\n\u003cp>If your child turns 12 between their first and second dose, the \u003ca href=\"https://www.aappublications.org/news/2021/10/29/townhall102921\">American Academy of Pediatrics suggests\u003c/a> sticking with the lower, 10-microgram dose for both shots.\u003c/p>\n\u003ch3>What if my child is used to wearing a mask by now? Can’t I just rely on that for prevention?\u003c/h3>\n\u003cp>Masks have proven to be a key tool for preventing outbreaks in schools, but some experts point out that indoor masking can’t go on forever.\u003c/p>\n\u003cp>“We actually have to open back up,” \u003ca href=\"https://profiles.stanford.edu/hayley-gans\">Dr. Hayley Gans\u003c/a>, pediatrician and infectious disease specialist at Stanford University and \u003ca href=\"https://www.stanfordchildrens.org/\">Lucile Packard Children’s Hospital\u003c/a>, said during the FDA advisory meeting. “We can’t forever have mitigation — particularly in schools — and children need to return to a more open life, as we all do.”\u003c/p>\n\u003cp>As cases continue to drop across the country, mask mandates may be lifted, which could increase the likelihood that — especially unvaccinated — kids could get COVID-19.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Tell us: What else do you need to know about COVID vaccines for kids?\u003c/h3>\n\u003cp>[hearken id=\"8833\" src=\"https://modules.wearehearken.com/kqed/embed/8833.js\"]\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Some+parents+want+to+wait+to+vaccinate+their+kids.+Here%27s+why+doctors+say+do+it+now&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>\u003cem>This story contains additional reporting by KQED’s Carly Severn\u003c/em>\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "What you need to know about the safety and efficacy of the COVID vaccine for kids age 5-11, and how to think about the risks and benefits of vaccinating your child.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story will be updated as more of your questions come in. \u003ca href=\"#ask\">Tell us what you need to know.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11894546/pfizer-covid-vaccine-kids-5-11-near-me\">Pediatric COVID vaccines for kids age 5-11\u003c/a> are finally here. And naturally, parents and caregivers have a lot of questions when it comes to vaccinating their children.\u003c/p>\n\u003cp>We talked to pediatricians and looked at the data to provide answers to common questions on families’ minds right now.\u003c/p>\n\u003cp>\u003cstrong>Skip to the answers for common questions:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#impact\">How does getting COVID actually affect kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#efficacy\">How well does the COVID-19 vaccine work for kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#sideeffects\">What are the common side effects, and which should I worry about?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#wait\">Should I wait to vaccinate my kid?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#eleven\">If my kid is 11, should we wait to get them the higher, adult dose at age 12?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Don’t see your question answered in this story? \u003ca href=\"#ask\">Send us your question.\u003c/a>\u003c/p>\n\u003ch3>\u003ca id=\"impact\">\u003c/a>I’ve heard COVID is mild for most kids. Do they really need to be vaccinated?\u003c/h3>\n\u003cp>It’s true that most children infected with the virus have only mild symptoms and that children rarely die from the disease. But scientists and health officials recommending the shot emphasize that vaccination could prevent many infections, as well as disruptions to schooling, hospitalizations and rare but severe complications of the disease.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2021-11-2-3/03-COVID-Jefferson-508.pdf\">More than 8,300\u003c/a> kids age 5 to 11 have been hospitalized with COVID-19 because of serious illness. According to a CDC analysis, the number of children and adolescents \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm\">admitted to the hospital increased nearly fivefold\u003c/a> over the summer months amid the delta surge.\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>In addition, more than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#mis-national-surveillance\">5,200 children and teens have developed MIS-C\u003c/a>, or multisystem inflammatory syndrome in children, a condition linked to COVID-19 that often leads to ICU admission. The median age of kids getting MIS-C is 9 years old.\u003c/p>\n\u003cp>It’s hard to predict which kids who get COVID-19 will be struck with severe COVID-19 or MIS-C. In one \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2778347\">CDC analysis of hospitalization records\u003c/a>, roughly 30% of kids hospitalized with COVID-19 had no underlying health conditions that would have put them at increased risk.\u003c/p>\n\u003cp>“Everything about this virus is unpredictable,” says \u003ca href=\"https://providerdirectory.uabmedicine.org/provider/David+Kimberlin/570550\">Dr. David Kimberlin\u003c/a>, an infectious disease pediatrician at the University of Alabama at Birmingham. “And we need to do everything we can to protect ourselves and to protect our children against what this virus is very capable of doing.”\u003c/p>\n\u003cp>Black, Native American and Latino children were three times more likely to be hospitalized than white children, \u003ca href=\"https://www.fda.gov/media/153508/download\">according to the CDC\u003c/a>.\u003c/p>\n\u003cp>At least \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#demographics\">791 children have died \u003c/a>from COVID-19, including 172 children age 5 to 11. “I have sat beside the bed of patients who are struggling to breathe,” says Kimberlin. His hospital has treated many adolescents who were old enough to be vaccinated but hadn’t been and then ended up on ventilators or ECMO, extracorporeal membrane oxygenation. In this situation, he says, parents are grieving. “And in the back of their mind, they also know [it] could have been prevented,” Kimberlin says.\u003c/p>\n\u003cp>For some clinicians, the argument for vaccination comes down to the idea that no child should ever die from a disease that could have been prevented by simply getting a shot. “COVID-19 is now a vaccine-preventable disease from my perspective,” said \u003ca href=\"https://www.fda.gov/media/136851/download\">Dr. Amanda Cohn\u003c/a>, during last week’s FDA advisory committee that voted in favor of authorizing the vaccine for younger kids.\u003c/p>\n\u003cp>“It’s the \u003ca href=\"https://www.fda.gov/media/153508/download\">eighth highest killer\u003c/a> of kids in this age group over the past year,” Cohn said. “The use of this vaccine will prevent deaths, ICU admissions and will prevent significant long-term adverse outcomes in children.”\u003c/p>\n\u003ch3>\u003ca id=\"efficacy\">\u003c/a>How well does the COVID-19 vaccine work for kids?\u003c/h3>\n\u003cp>A clinical trial conducted by Pfizer and BioNTech studied a 10-microgram vaccine dose in children age 5 to 11. This is a third of the dose given to adults and children 12 and older. The lower dose was chosen to minimize side effects but still prompt a strong immune response, according to the vaccine makers.\u003c/p>\n\u003cp>The data the drug companies presented to the FDA showed that the vaccine was 90.7% effective against symptomatic COVID-19. The antibody response to the vaccine was comparable to the one seen in people 16 to 25 years old.\u003c/p>\n\u003cp>Pediatricians also point to real-world data on the effectiveness of the vaccines in 12- to 17-year-olds. Amid the recent delta surge, hospitalization rates were \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7036e2.htm\">about 10 times higher\u003c/a> in unvaccinated adolescents than vaccinated ones, according to a recent CDC analysis.\u003c/p>\n\u003ch3>\u003ca id=\"sideeffects\">\u003c/a>What are the common side effects?\u003c/h3>\n\u003cp>No new safety problems were identified in the companies’ studies of this vaccine.\u003c/p>\n\u003cp>The most \u003ca href=\"https://www.fda.gov/media/153510/download\">common side effects\u003c/a> documented in the study were similar to those other age groups have had with COVID-19 vaccines. The most common were pain at the injection site, fatigue and headache and muscle aches. Kids who get the vaccine feel “ultimately fine in two or three days,” says \u003ca href=\"https://www.dukehealth.org/find-doctors-physicians/ibukunoluwa-c-kalu-md\">Dr. Ibukunoluwa Kalu\u003c/a>, a pediatrician and infectious disease specialist at Duke University.\u003c/p>\n\u003cp>When it comes to rare immediate allergic reactions to the COVID-19 vaccine, UCSF infectious disease specialist Dr. Peter Chin-Hong says there are already checks in place to catch these: namely, the 15-minute observation period after your child’s COVID vaccination, during which you and your child will be asked to stay at the vaccination site.\u003c/p>\n\u003cp>Back at home, at what point should a parent or caregiver call a child’s pediatrician about side effects after the COVID vaccine? Chin-Hong says to look for symptoms that persist for more than a day and get worse, not better — especially if it’s a fever.\u003c/p>\n\u003ch3>Should I be concerned about serious side effects, especially myocarditis?\u003c/h3>\n\u003cp>In very rare cases, following vaccination with mRNA vaccines made by Pfizer and Moderna, people have developed inflammation of the heart muscle, which is known as myocarditis. In Pfizer’s clinical trial for 5- to 11-year-olds, there were no cases of myocarditis, although the company acknowledged that the trials were not big enough to pick up such rare events.\u003c/p>\n\u003cp>Myocarditis after vaccination is “very, very rare,” explains Kimberlin. And it’s usually short-lived. In most instances, adolescents who’ve developed myocarditis have improved quickly. “The management of it usually is taking some ibuprofen — some Advil,” Kimberlin says.\u003c/p>\n\u003cp>Rates of post-vaccination myocarditis are expected to be lower in young kids than those observed in teens. Myocarditis, which can also occur after bacterial and viral infections, including COVID-19, is generally significantly less common among younger children. That’s partly because the condition is linked with puberty hormones, explains pediatrician \u003ca href=\"https://drnicolebaldwin.com/\">Nicole Baldwin\u003c/a>, who practices in Cincinnati.\u003c/p>\n\u003cp>And the smaller dose size for younger kids may also reduce the risk, Kalu adds. “The physiology behind why they saw some of the post-vaccine myocarditis seems to be related to how the immune system is reacting to the vaccine. It’s mounting a protective level of antibody, but maybe a little overzealous in those efforts,” she says.\u003c/p>\n\u003cp>Of 877 reports of vaccine-related myocarditis in people under 30, no deaths have been confirmed, according to data presented at the CDC’s advisory meeting Tuesday. Dr. Matthew Oster, who studies myocarditis for the CDC and is a pediatric cardiologist at Children’s Healthcare of Atlanta, explained that COVID-19 itself can cause myocarditis and other heart-related issues, as well as MIS-C, which often affects the heart.\u003c/p>\n\u003cp>“The bottom line is, getting COVID, I think, is much riskier to the heart than getting this vaccine,” Oster said.\u003c/p>\n\u003ch3>\u003ca id=\"wait\">\u003c/a>Can’t I just wait a bit to see how vaccinations go before I vaccinate my kid?\u003c/h3>\n\u003cp>Many pediatricians urge parents not to wait — first of all because their children will still be at risk for getting sick from COVID-19. “You can’t wait until millions and millions of doses are given before you decide, because this virus is going to take every opportunity it can to infect someone,” says \u003ca href=\"https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=17154\">Dr. Tina Tan\u003c/a>, pediatrician and infectious disease specialist at Northwestern and Lurie Children’s Hospital of Chicago.\u003c/p>\n\u003cp>Even though COVID-19 cases are trending downward, 90% of counties in the U.S. are still classified by the CDC as \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#county-view\">having “high” or “substantial” viral spread\u003c/a>.\u003c/p>\n\u003cp>“Because the delta variant is that much more transmissible, kids can get delta and can get quite sick from it,” says Tan. “You cannot predict — in a normal healthy child — who’s going to get very sick and who’s not. [Vaccinating] is the best way to protect your child against getting severe COVID illness.”\u003c/p>\n\u003cp>Acting FDA Commissioner Janet Woodcock made a similar point when she was asked about parents who wanted to wait to vaccinate their kids in a \u003ca href=\"https://www.youtube.com/watch?v=WLbGnS-kqTY\">press conference Friday\u003c/a>. “As a parent, if I had young children in this age group, I would get them vaccinated now,” she said.\u003c/p>\n\u003ch3>Are there some kids who might be at higher risk and want to hurry to get vaccinated?\u003c/h3>\n\u003cp>Certain families should consider getting in the front of the line for shots, Kalu says.\u003c/p>\n\u003cp>One group that should not delay, she says, are “kids that have conditions that may put them at higher risk for severe disease — and that could be as simple as obesity, chronic respiratory conditions, maybe even kidney disease or high blood pressure.”\u003c/p>\n\u003cp>For families with babies or grandparents or other vulnerable people — like an immunocompromised family member — at home, vaccinating your young children as soon as they’re eligible will help keep those people safe.\u003c/p>\n\u003cp>And if you live in an area where the weather is getting chilly, that’s going to mean people being indoors more often, which raises your risk of catching COVID-19.\u003c/p>\n\u003cp>Especially if you are having family members or friends in for the holidays, keep in mind that “it is safer to gather in a fully vaccinated environment than not,” Kalu says. “So even in just the interest of keeping your small community safe as you gather over the holidays, it may be good to get kids vaccinated prior to that.”\u003c/p>\n\u003cp>Baldwin agrees. “If we’re getting these kids vaccinated now before they go hug Grandma and Grandpa [during the holidays], that can offer additional protection to our more vulnerable population,” she says.\u003c/p>\n\u003ch3>If my child already had COVID-19, do they need this shot? Don’t they have immunity?\u003c/h3>\n\u003cp>Even for kids who’ve already had COVID-19, pediatricians say it’s still beneficial to get the vaccine. “We don’t yet really understand the duration of immunity when it comes to kids,” Baldwin explains. Often kids get mild infections, so “we don’t know what that correlates to in terms of antibody levels and how long [they are] going to be protected,” she says.\u003c/p>\n\u003cp>For kids who’ve had a very recent COVID-19 infection, she says, she understands why parents may not be the first to rush out and get the vaccine. It’s probable that their children have immunity in the months following the illness. But, ultimately, she says the vaccine is the best way to ensure strong and lasting protection against the virus.\u003c/p>\n\u003cp>Some parents might be tempted to get their child’s antibody levels tested, but Dr. Kate Russell Woodworth, a medical epidemiologist with the CDC, said at a CDC advisers’ meeting Tuesday that those tests aren’t a reliable way to determine whether a person is protected from reinfection. The CDC \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html\">recommends against\u003c/a> using them for vaccination decisions.\u003c/p>\n\u003ch3>\u003ca id=\"eleven\">\u003c/a>If my kid is 11, should we wait to get them the higher, adult dose at age 12?\u003c/h3>\n\u003cp>“I would not advise waiting,” says Baldwin. “I think it’s important for parents to understand [that in clinical trials] the lower dosage provided as robust an immune response as the higher dosage did in older kids with less side effects.”\u003c/p>\n\u003cp>Baldwin says if your child has a 12th birthday coming up very soon, she says it’s OK to wait, but the dose provided in the children’s formulation is enough to protect them from the virus.\u003c/p>\n\u003cp>If your child turns 12 between their first and second dose, the \u003ca href=\"https://www.aappublications.org/news/2021/10/29/townhall102921\">American Academy of Pediatrics suggests\u003c/a> sticking with the lower, 10-microgram dose for both shots.\u003c/p>\n\u003ch3>What if my child is used to wearing a mask by now? Can’t I just rely on that for prevention?\u003c/h3>\n\u003cp>Masks have proven to be a key tool for preventing outbreaks in schools, but some experts point out that indoor masking can’t go on forever.\u003c/p>\n\u003cp>“We actually have to open back up,” \u003ca href=\"https://profiles.stanford.edu/hayley-gans\">Dr. Hayley Gans\u003c/a>, pediatrician and infectious disease specialist at Stanford University and \u003ca href=\"https://www.stanfordchildrens.org/\">Lucile Packard Children’s Hospital\u003c/a>, said during the FDA advisory meeting. “We can’t forever have mitigation — particularly in schools — and children need to return to a more open life, as we all do.”\u003c/p>\n\u003cp>As cases continue to drop across the country, mask mandates may be lifted, which could increase the likelihood that — especially unvaccinated — kids could get COVID-19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Tell us: What else do you need to know about COVID vaccines for kids?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Some+parents+want+to+wait+to+vaccinate+their+kids.+Here%27s+why+doctors+say+do+it+now&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>\u003cem>This story contains additional reporting by KQED’s Carly Severn\u003c/em>\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Where Can I Get a Pfizer COVID Vaccine for Kids Age 5-11 Near Me? ",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">Pfizer COVID vaccines are now available for children\u003c/a> age 5-11 in California.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\">Looking for COVID vaccines for adults or young people age 12 or over instead? \u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Following \u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">a thorough in-depth review process from the Food and Drug Administration and the Centers for Disease Control and Prevention\u003c/a>, these pediatric shots are being rolled out around the state. Read on for what parents and caregivers need to know about finding a COVID vaccine for kids age 5-11.\u003c/p>\n\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I find a COVID vaccine for a kid age 5-11 near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#ask\">Don’t see your question answered here? Tell us what you need to know.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Whether it’s a child’s shot, an adult’s shot or a booster shot, a COVID vaccine will always be free. You or your child do not need health insurance to be vaccinated.\u003c/p>\n\u003cp>You or your child also will not be asked for proof of citizenship or about your immigration status. Getting a COVID vaccine \u003ca href=\"https://www.uscis.gov/green-card/green-card-processes-and-procedures/public-charge/public-charge-resources\">does not make you or your child a public charge\u003c/a> and won’t affect any current or future green card applications.\u003c/p>\n\u003ch3>What to know about Pfizer COVID vaccines for kids age 5-11\u003c/h3>\n\u003cp>\u003cstrong>Kids in this age group can only get Pfizer … for now.\u003c/strong>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">only the Pfizer COVID vaccine has been authorized\u003c/a> by the FDA and the CDC for use in children age 5-11.\u003c/p>\n\u003cp>You may see the Pfizer-BioNTech COVID-19 vaccine also referred to as Comirnaty. This is the brand name of this particular vaccine.\u003c/p>\n\u003cp>\u003cstrong>The COVID vaccine dose for kids age 5-11 is lower\u003c/strong>\u003c/p>\n\u003cp>Children in this age group will be offered a lower dose of the Pfizer COVID vaccine than the dose offered to adults and young people over 12. This lower dose — which you might hear being called the pediatric dose — is one-third of the adult dose.[aside postID=news_11894983 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/11/ap_21294837037646-bc68994bd87165627b4ab20dd7f8cf49248798ec-1020x765.jpg']\u003c/p>\n\u003cp>If you’re wondering why the lower dose of Pfizer’s COVID vaccine is given according to a child’s age, and not their body mass — as with some other pediatric medicines — it’s actually all about the age of a kid’s \u003cem>immune system\u003c/em>, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF. And generally, over the age of six months, a young immune system is “more agile,” he says.\u003c/p>\n\u003cp>“If you have a larger kid and a smaller kid [age 2-5], that immune system is going to be very, very responsive regardless of their weight,” says Dr. Chin-Hong.\u003c/p>\n\u003cfigure id=\"attachment_11894592\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11894592\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252.jpg\" alt=\"A woman helps a young girl put on a black cloth face mask with cat whiskers.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">COVID vaccines for kids age 5-11are finally here. \u003ccite>(August de Richelieu/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Kids 5-11 will get two doses of the COVID vaccine\u003c/strong>\u003c/p>\n\u003cp>Like the adult version, the Pfizer COVID vaccine for kids age 5-11 is given in two doses, three weeks (or 21 days) apart. This means that when you make an appointment for a first dose of the Pfizer COVID vaccine for a child age 5-11, you’ll also make an appointment for another dose three weeks later. Make sure you know when and where your child will be getting that second dose.\u003c/p>\n\u003cp>\u003cstrong>It’s safe for kids to get other vaccinations at the same time\u003c/strong>\u003c/p>\n\u003cp>If you feel your child will be comfortable receiving more than one vaccination in a single sitting, \u003ca href=\"https://www.kqed.org/news/11887909/when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines\">the CDC says it’s safe to receive the COVID vaccine and other vaccinations\u003c/a> — like a flu shot — at the same time.\u003c/p>\n\u003cp>\u003cstrong>Like in adults, mild side effects can happen …\u003c/strong>\u003cb>\u003c/b>\u003c/p>\n\u003cp>In the initial trials, says Dr. Chin-Hong, the lower dose of the Pfizer COVID vaccines for kids age 5-11 actually appears to have resulted in \u003cem>lower\u003c/em> instances of side effects. That said, parents and caregivers should still expect that their child might experience some of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html\">the usual COVID vaccine side effects often experienced by adults\u003c/a> — redness and soreness in the arm, fatigue, fever, chills and headache — “though at a lower prevalence,” says Chin-Hong.\u003c/p>\n\u003cp>The 15-minute observation period after a child’s COVID vaccination, during which you and your child will be asked to stay at the vaccination site, is intended to catch any rare allergic responses.\u003c/p>\n\u003cp>At what point should a parent or caregiver call a child’s pediatrician about side effects back at home after the COVID vaccine? Chin-Hong says to look for symptoms that persist for more than a day and get worse, not better — especially if it’s a fever.\u003c/p>\n\u003cp>… \u003cstrong>and the severe side effects you may have heard about are highly rare.\u003c/strong>\u003c/p>\n\u003cp>The “really, really rare” side effect of the COVID vaccine in younger adults, says Chin-Hong, is \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/myocarditis.html\">myocarditis and pericarditis\u003c/a>: “inflammation of the heart muscle and the lining of the heart that will be manifested in kids as potential chest pain or palpitations.” But he stresses that the rareness of the side effect means that it’s “not a source of worry.”\u003c/p>\n\u003cp>“With a lower dose, I’m not really sure it’s going to be happening,” says Chin-Hong. \u003ca href=\"https://www.nytimes.com/2021/11/01/health/covid-kids-children.html\">Read more from the New York Times about the rareness of heart problems after COVID vaccination.\u003c/a>\u003c/p>\n\u003cp>Have more questions about kids and the COVID vaccine?\u003ca href=\"https://www.kqed.org/news/11894983/covid-vaccines-kids-why-doctors-say-dont-wait-and-other-faqs\"> Read answers to FAQs direct from medical experts.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11890217\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11890217 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg\" alt=\"A close-up of a hand gripping a vaccination card and writing on it with a pen.\" width=\"2560\" height=\"1704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-2048x1363.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A nurse marks a coronavirus vaccination card with a third, booster dose of Pfizer, at a vaccine clinic in Pasadena, California, on Aug. 19, 2021. \u003ccite>(Robyn Beck/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"where\">\u003c/a>Where can I find a Pfizer COVID vaccine for kids age 5-11?\u003c/h3>\n\u003cp>There are several ways to find your child a Pfizer COVID vaccine. Don’t assume you’ll be proactively contacted about your child’s COVID vaccine.\u003c/p>\n\u003cp>Different providers, clinics and counties are rolling out COVID vaccines for kids at different speeds — so if you’re finding the process of trying to get an appointment for your child confusing, or are frustrated by initial lack of availability, you’re not alone. Availability will hopefully improve as providers receive more pediatric doses.\u003c/p>\n\u003cp>Demand for kids’ COVID vaccines will be high, especially in the first few weeks. It may also take certain websites and clinics a little while to make appointments available in these first few days. If you don’t see appointments available at your chosen pharmacy, clinic or vaccination site, keep checking back.\u003c/p>\n\u003cp>Remember, your child will need two doses of the Pfizer COVID vaccine, three weeks apart. When making an appointment for their first dose, be sure that you and your child will be able to attend that second appointment. This is especially important as the November and December holidays get closer, and many families choose to travel during this period.\u003c/p>\n\u003cp>If you have the choice, \u003cem>where\u003c/em> should you get your child vaccinated against COVID? You know your kid best, so you might consider choosing an environment that you think will work best for them and their comfort level. That could be a large vaccine clinic where they can see grown-ups also getting their shots; a small exam room for more privacy; or in a vehicle in a drive-up appointment, where your child may not even have to unbuckle their seat belt.\u003c/p>\n\u003cp>What if your child is nervous about getting their COVID vaccine? \u003cb>\u003c/b>“Just like we talked to kids about why they should wear masks, I think having buy-in and a discussion before the vaccination could be helpful,” advises UCSF’s Dr. Chin-Hong. He notes that some children might be most at ease getting their shot from a trusted, regular provider like their usual pediatrician.\u003c/p>\n\u003cp>Chin-Hong also recommends considering “normalizing” a child’s booster shot by getting your own adult COVID booster shot at the same time, if you’re eligible — or even another vaccination like the flu shot.\u003c/p>\n\u003cp>\u003cb>\u003c/b>\u003cem>“\u003c/em>And of course, there’s always the lollipop and leftover Halloween candy and nice Band-Aids with Dora the Explorer,” he says.\u003c/p>\n\u003cp>\u003cstrong>1. Find a Pfizer COVID vaccine for kids 5-11 through your child’s pediatrician or health care provider.\u003c/strong>\u003c/p>\n\u003cp>If your family has health insurance, check with your child’s pediatrician or your health care provider to see whether they can offer your child the Pfizer COVID vaccine shot. If you don’t have health insurance but get medical care through a city- or county-run provider, you can check with that location.\u003c/p>\n\u003cp>As well as trying to talk with your health care provider directly, check the website of your provider (for example, Kaiser Permanente) to see whether they’re offering the ability to make appointments, and sign up for any available notifications.\u003c/p>\n\u003cp>\u003cstrong>2. Find a Pfizer COVID vaccine for kids 5-11 through a local pharmacy.\u003c/strong>\u003c/p>\n\u003cp>Several pharmacy chains are offering online appointments for the Pfizer COVID vaccine for kids age 5-11.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine?icid=cvs-home-hero1-banner-1-link2-coronavirus-vaccine\">CVS COVID-19 vaccine appointments \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/covid-qualifier?utm_source=state&utm_medium=web&utm_campaign=Covid19&utm_content=Covid19scheduler_CA_2_12_21\">Rite Aid COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.mhealthappointments.com/covidappt\">Safeway (Albertsons) COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine_landing_schedule\">Walgreens COVID-19 vaccine appointments\u003c/a>, or call (800) WALGREENS/(800) 925-4733\u003c/li>\n\u003cli>\u003ca href=\"https://costcorx.appointment-plus.com/appointments/book?section=typeOfVaccine&workflow=default\">Costco’s COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Some pharmacies may later also offer walk-in vaccinations with no appointment according to availability.\u003c/p>\n\u003cfigure id=\"attachment_11893854\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11893854\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1232892937.jpg\" alt=\"A teen girl wearing glasses and a mask, sleeve rolled up, looks past a nurse with blue gloves who grips her shoulder with one hand and injects her with the other.\" width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">The FDA and CDC have authorized the Pfizer COVID-19 vaccine for kids ages 5 to 11. Teens, like the 17-year-old pictured, are already eligible for the vaccine. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>3. Find a Pfizer COVID vaccine for kids 5-11 through My Turn.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">My Turn is the state’s tool\u003c/a> that allows Californians to schedule vaccination appointments, as supplies allow. Appointments for kids age 5-11 will be available on My Turn starting November 4.\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">Visit the My Turn page\u003c/a> and select “Make an Appointment.” My Turn will ask for your child’s information, and then for a ZIP code or location you’d like to use to search for vaccine appointments. You can give your home location, or you can input other locations to see which sites are available farther from your home.\u003c/p>\n\u003cp>When you find and schedule an appointment for a vaccination site through My Turn, the California Department of Public Health says you don’t necessarily need to be a resident in that particular county where the vaccination site is based. So don’t worry if My Turn is suggesting appointments in a county other than the one where you live or work.\u003c/p>\n\u003cp>If you can’t travel to a clinic for your child’s COVID vaccine because of health or transportation issues, you can note this when registering on My Turn, and representatives from the California Department of Public Health will call you to arrange an in-home visit or transportation.\u003c/p>\n\u003cp>If you’re trying to find an appointment at a certain location and can’t see it in the search results, try searching on My Turn for that site’s \u003cem>exact\u003c/em> ZIP code, rather than your own. Remember that if you’re not seeing a specific site in the search results, it might just be because of low supply or lack of available appointments. You’ll also be shown a lot of pharmacy results: Keep scrolling through them to make sure you’re not missing clinic results hidden among them.\u003c/p>\n\u003cp>My Turn will ask you to provide a cellphone number and an email address. The state says this is so you can use two-factor authentication to doubly confirm your identity and make your appointment, and to prevent bots from automatically scooping up available appointments online.\u003c/p>\n\u003cp>If you don’t have an email address or a cellphone number, or you have questions, you can call the California COVID-19 hotline at (833) 422-4255 (Monday-Friday 8 a.m.-8 p.m., Saturday and Sunday 8 a.m.-5 p.m PT) and sign up over the phone. Both English-speaking and Spanish-speaking operators are available. Callers needing information in other languages will be connected to a translation service that offers assistance in over 250 languages.\u003c/p>\n\u003cp>\u003cstrong>4. Find a Pfizer COVID vaccine for kids 5-11 through your county’s public health website.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Visit your county’s public health website \u003c/a>to learn how your county is vaccinating its residents, and if they’ve begun to offer COVID vaccines to kids age 5-11 yet . The availability of vaccination appointments will be based on the doses that the state has supplied to your county. Your county may also be offering in-school vaccinations for kids.\u003c/p>\n\u003cp>You can sign up to receive notifications via email from your county to know when there is greater appointment availability. \u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Find your Bay Area county in our list:\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/vaccines\">Alameda County COVID-19 Vaccines\u003c/a> (you can also call the Alameda County Community Vaccination POD hotline: 510-208-4VAX [4829])\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/\">City of Berkeley COVID-19 Vaccines \u003c/a>(please note: the city of Berkeley has its own public health department, but also \u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/#signup\">recommends residents\u003c/a> sign up for Alameda County’s notifications.)\u003c/li>\n\u003cli>\u003ca href=\"https://covidvaccine.cchealth.org/COVIDVaccine/\">Contra Costa County COVID-19 Vaccines \u003c/a>(or call Contra Costa Health Services: 1-833-829-2626)\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/vaccine/pediatrics\">Marin County’s Pediatric COVID-19 Vaccines \u003c/a>(Marin residents without internet access can call 833-641-1988, and Marin says that people eligible to get help from this call center are ages 65 or older, living with disabilities and ages 18 or older, in need of home care or personal assistance, need language interpretation including ASL, have limited or no internet access or need help arranging transportation.)\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3096/COVID-19-Vaccines\">Napa County COVID-19 Vaccines\u003c/a> (or call the Napa County Public Information Call Center: 707-253-4540.)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/covid-19-vaccine-san-francisco\">City and County of San Francisco COVID-19 Vaccines\u003c/a> (or call the San Francisco call center designed to help people who are 65 and older and those with disabilities who are unable to easily access the internet or schedule an appointment through their provider: 628-652-2700.)\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/covid-19-vaccination-program-overview\">San Mateo County COVID-19 Vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://covid19.sccgov.org/covid-19-vaccine-information\">Santa Clara County COVID-19 Vaccines\u003c/a> (contains links to \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/COVID19-vaccine-information-for-public.aspx#myturn\">vaccine sign-up pages \u003c/a>and phone numbers for various local medical providers.)\u003c/li>\n\u003cli>\u003ca href=\"https://solanocounty.com/depts/ph/coronavirus_links/covid_19_vaccines.asp\">Solano County COVID-19 Vaccines\u003c/a> (contains \u003ca href=\"https://solanocounty.com/depts/ph/coronavirus_links/covid_19_vaccines.asp\">a provider-by-provider list of phone numbers\u003c/a> to call about COVID-19 vaccines.)\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/vaccine-information/\">Sonoma County COVID-19 Vaccines\u003c/a> (contains \u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/vaccine-information/clinics/\">a provider-by-provider list of phone numbers\u003c/a> to call about COVID-19 vaccines.)\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Tell us: What else do you need to know about COVID vaccines for kids?\u003c/h3>\n\u003cp>[hearken id=\"8833\" src=\"https://modules.wearehearken.com/kqed/embed/8833.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "From Walgreens and CVS to your own county, Pfizer COVID vaccines for kids age 5-11 are now being offered in California. Here's how to find a pediatric COVID vaccine for children under 12 near you.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">Pfizer COVID vaccines are now available for children\u003c/a> age 5-11 in California.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered\">Looking for COVID vaccines for adults or young people age 12 or over instead? \u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Following \u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">a thorough in-depth review process from the Food and Drug Administration and the Centers for Disease Control and Prevention\u003c/a>, these pediatric shots are being rolled out around the state. Read on for what parents and caregivers need to know about finding a COVID vaccine for kids age 5-11.\u003c/p>\n\u003cp>\u003cstrong>Skip to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I find a COVID vaccine for a kid age 5-11 near me?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#ask\">Don’t see your question answered here? Tell us what you need to know.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Whether it’s a child’s shot, an adult’s shot or a booster shot, a COVID vaccine will always be free. You or your child do not need health insurance to be vaccinated.\u003c/p>\n\u003cp>You or your child also will not be asked for proof of citizenship or about your immigration status. Getting a COVID vaccine \u003ca href=\"https://www.uscis.gov/green-card/green-card-processes-and-procedures/public-charge/public-charge-resources\">does not make you or your child a public charge\u003c/a> and won’t affect any current or future green card applications.\u003c/p>\n\u003ch3>What to know about Pfizer COVID vaccines for kids age 5-11\u003c/h3>\n\u003cp>\u003cstrong>Kids in this age group can only get Pfizer … for now.\u003c/strong>\u003c/p>\n\u003cp>Currently, \u003ca href=\"https://www.kqed.org/news/11894855/cdc-recommends-pfizers-covid-vaccine-for-children-ages-5-to-11\">only the Pfizer COVID vaccine has been authorized\u003c/a> by the FDA and the CDC for use in children age 5-11.\u003c/p>\n\u003cp>You may see the Pfizer-BioNTech COVID-19 vaccine also referred to as Comirnaty. This is the brand name of this particular vaccine.\u003c/p>\n\u003cp>\u003cstrong>The COVID vaccine dose for kids age 5-11 is lower\u003c/strong>\u003c/p>\n\u003cp>Children in this age group will be offered a lower dose of the Pfizer COVID vaccine than the dose offered to adults and young people over 12. This lower dose — which you might hear being called the pediatric dose — is one-third of the adult dose.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you’re wondering why the lower dose of Pfizer’s COVID vaccine is given according to a child’s age, and not their body mass — as with some other pediatric medicines — it’s actually all about the age of a kid’s \u003cem>immune system\u003c/em>, says Dr. Peter Chin-Hong, an infectious disease specialist at UCSF. And generally, over the age of six months, a young immune system is “more agile,” he says.\u003c/p>\n\u003cp>“If you have a larger kid and a smaller kid [age 2-5], that immune system is going to be very, very responsive regardless of their weight,” says Dr. Chin-Hong.\u003c/p>\n\u003cfigure id=\"attachment_11894592\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11894592\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252.jpg\" alt=\"A woman helps a young girl put on a black cloth face mask with cat whiskers.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/pexels-august-de-richelieu-4261252-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">COVID vaccines for kids age 5-11are finally here. \u003ccite>(August de Richelieu/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Kids 5-11 will get two doses of the COVID vaccine\u003c/strong>\u003c/p>\n\u003cp>Like the adult version, the Pfizer COVID vaccine for kids age 5-11 is given in two doses, three weeks (or 21 days) apart. This means that when you make an appointment for a first dose of the Pfizer COVID vaccine for a child age 5-11, you’ll also make an appointment for another dose three weeks later. Make sure you know when and where your child will be getting that second dose.\u003c/p>\n\u003cp>\u003cstrong>It’s safe for kids to get other vaccinations at the same time\u003c/strong>\u003c/p>\n\u003cp>If you feel your child will be comfortable receiving more than one vaccination in a single sitting, \u003ca href=\"https://www.kqed.org/news/11887909/when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines\">the CDC says it’s safe to receive the COVID vaccine and other vaccinations\u003c/a> — like a flu shot — at the same time.\u003c/p>\n\u003cp>\u003cstrong>Like in adults, mild side effects can happen …\u003c/strong>\u003cb>\u003c/b>\u003c/p>\n\u003cp>In the initial trials, says Dr. Chin-Hong, the lower dose of the Pfizer COVID vaccines for kids age 5-11 actually appears to have resulted in \u003cem>lower\u003c/em> instances of side effects. That said, parents and caregivers should still expect that their child might experience some of \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html\">the usual COVID vaccine side effects often experienced by adults\u003c/a> — redness and soreness in the arm, fatigue, fever, chills and headache — “though at a lower prevalence,” says Chin-Hong.\u003c/p>\n\u003cp>The 15-minute observation period after a child’s COVID vaccination, during which you and your child will be asked to stay at the vaccination site, is intended to catch any rare allergic responses.\u003c/p>\n\u003cp>At what point should a parent or caregiver call a child’s pediatrician about side effects back at home after the COVID vaccine? Chin-Hong says to look for symptoms that persist for more than a day and get worse, not better — especially if it’s a fever.\u003c/p>\n\u003cp>… \u003cstrong>and the severe side effects you may have heard about are highly rare.\u003c/strong>\u003c/p>\n\u003cp>The “really, really rare” side effect of the COVID vaccine in younger adults, says Chin-Hong, is \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/myocarditis.html\">myocarditis and pericarditis\u003c/a>: “inflammation of the heart muscle and the lining of the heart that will be manifested in kids as potential chest pain or palpitations.” But he stresses that the rareness of the side effect means that it’s “not a source of worry.”\u003c/p>\n\u003cp>“With a lower dose, I’m not really sure it’s going to be happening,” says Chin-Hong. \u003ca href=\"https://www.nytimes.com/2021/11/01/health/covid-kids-children.html\">Read more from the New York Times about the rareness of heart problems after COVID vaccination.\u003c/a>\u003c/p>\n\u003cp>Have more questions about kids and the COVID vaccine?\u003ca href=\"https://www.kqed.org/news/11894983/covid-vaccines-kids-why-doctors-say-dont-wait-and-other-faqs\"> Read answers to FAQs direct from medical experts.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11890217\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11890217 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg\" alt=\"A close-up of a hand gripping a vaccination card and writing on it with a pen.\" width=\"2560\" height=\"1704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-2048x1363.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/GettyImages-1234768450-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A nurse marks a coronavirus vaccination card with a third, booster dose of Pfizer, at a vaccine clinic in Pasadena, California, on Aug. 19, 2021. \u003ccite>(Robyn Beck/AFP via Getty Images))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"where\">\u003c/a>Where can I find a Pfizer COVID vaccine for kids age 5-11?\u003c/h3>\n\u003cp>There are several ways to find your child a Pfizer COVID vaccine. Don’t assume you’ll be proactively contacted about your child’s COVID vaccine.\u003c/p>\n\u003cp>Different providers, clinics and counties are rolling out COVID vaccines for kids at different speeds — so if you’re finding the process of trying to get an appointment for your child confusing, or are frustrated by initial lack of availability, you’re not alone. Availability will hopefully improve as providers receive more pediatric doses.\u003c/p>\n\u003cp>Demand for kids’ COVID vaccines will be high, especially in the first few weeks. It may also take certain websites and clinics a little while to make appointments available in these first few days. If you don’t see appointments available at your chosen pharmacy, clinic or vaccination site, keep checking back.\u003c/p>\n\u003cp>Remember, your child will need two doses of the Pfizer COVID vaccine, three weeks apart. When making an appointment for their first dose, be sure that you and your child will be able to attend that second appointment. This is especially important as the November and December holidays get closer, and many families choose to travel during this period.\u003c/p>\n\u003cp>If you have the choice, \u003cem>where\u003c/em> should you get your child vaccinated against COVID? You know your kid best, so you might consider choosing an environment that you think will work best for them and their comfort level. That could be a large vaccine clinic where they can see grown-ups also getting their shots; a small exam room for more privacy; or in a vehicle in a drive-up appointment, where your child may not even have to unbuckle their seat belt.\u003c/p>\n\u003cp>What if your child is nervous about getting their COVID vaccine? \u003cb>\u003c/b>“Just like we talked to kids about why they should wear masks, I think having buy-in and a discussion before the vaccination could be helpful,” advises UCSF’s Dr. Chin-Hong. He notes that some children might be most at ease getting their shot from a trusted, regular provider like their usual pediatrician.\u003c/p>\n\u003cp>Chin-Hong also recommends considering “normalizing” a child’s booster shot by getting your own adult COVID booster shot at the same time, if you’re eligible — or even another vaccination like the flu shot.\u003c/p>\n\u003cp>\u003cb>\u003c/b>\u003cem>“\u003c/em>And of course, there’s always the lollipop and leftover Halloween candy and nice Band-Aids with Dora the Explorer,” he says.\u003c/p>\n\u003cp>\u003cstrong>1. Find a Pfizer COVID vaccine for kids 5-11 through your child’s pediatrician or health care provider.\u003c/strong>\u003c/p>\n\u003cp>If your family has health insurance, check with your child’s pediatrician or your health care provider to see whether they can offer your child the Pfizer COVID vaccine shot. If you don’t have health insurance but get medical care through a city- or county-run provider, you can check with that location.\u003c/p>\n\u003cp>As well as trying to talk with your health care provider directly, check the website of your provider (for example, Kaiser Permanente) to see whether they’re offering the ability to make appointments, and sign up for any available notifications.\u003c/p>\n\u003cp>\u003cstrong>2. Find a Pfizer COVID vaccine for kids 5-11 through a local pharmacy.\u003c/strong>\u003c/p>\n\u003cp>Several pharmacy chains are offering online appointments for the Pfizer COVID vaccine for kids age 5-11.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine?icid=cvs-home-hero1-banner-1-link2-coronavirus-vaccine\">CVS COVID-19 vaccine appointments \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/covid-qualifier?utm_source=state&utm_medium=web&utm_campaign=Covid19&utm_content=Covid19scheduler_CA_2_12_21\">Rite Aid COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.mhealthappointments.com/covidappt\">Safeway (Albertsons) COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine_landing_schedule\">Walgreens COVID-19 vaccine appointments\u003c/a>, or call (800) WALGREENS/(800) 925-4733\u003c/li>\n\u003cli>\u003ca href=\"https://costcorx.appointment-plus.com/appointments/book?section=typeOfVaccine&workflow=default\">Costco’s COVID-19 vaccine appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Some pharmacies may later also offer walk-in vaccinations with no appointment according to availability.\u003c/p>\n\u003cfigure id=\"attachment_11893854\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11893854\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1232892937.jpg\" alt=\"A teen girl wearing glasses and a mask, sleeve rolled up, looks past a nurse with blue gloves who grips her shoulder with one hand and injects her with the other.\" width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/10/GettyImages-1232892937-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">The FDA and CDC have authorized the Pfizer COVID-19 vaccine for kids ages 5 to 11. Teens, like the 17-year-old pictured, are already eligible for the vaccine. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>3. Find a Pfizer COVID vaccine for kids 5-11 through My Turn.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">My Turn is the state’s tool\u003c/a> that allows Californians to schedule vaccination appointments, as supplies allow. Appointments for kids age 5-11 will be available on My Turn starting November 4.\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/\">Visit the My Turn page\u003c/a> and select “Make an Appointment.” My Turn will ask for your child’s information, and then for a ZIP code or location you’d like to use to search for vaccine appointments. You can give your home location, or you can input other locations to see which sites are available farther from your home.\u003c/p>\n\u003cp>When you find and schedule an appointment for a vaccination site through My Turn, the California Department of Public Health says you don’t necessarily need to be a resident in that particular county where the vaccination site is based. So don’t worry if My Turn is suggesting appointments in a county other than the one where you live or work.\u003c/p>\n\u003cp>If you can’t travel to a clinic for your child’s COVID vaccine because of health or transportation issues, you can note this when registering on My Turn, and representatives from the California Department of Public Health will call you to arrange an in-home visit or transportation.\u003c/p>\n\u003cp>If you’re trying to find an appointment at a certain location and can’t see it in the search results, try searching on My Turn for that site’s \u003cem>exact\u003c/em> ZIP code, rather than your own. Remember that if you’re not seeing a specific site in the search results, it might just be because of low supply or lack of available appointments. You’ll also be shown a lot of pharmacy results: Keep scrolling through them to make sure you’re not missing clinic results hidden among them.\u003c/p>\n\u003cp>My Turn will ask you to provide a cellphone number and an email address. The state says this is so you can use two-factor authentication to doubly confirm your identity and make your appointment, and to prevent bots from automatically scooping up available appointments online.\u003c/p>\n\u003cp>If you don’t have an email address or a cellphone number, or you have questions, you can call the California COVID-19 hotline at (833) 422-4255 (Monday-Friday 8 a.m.-8 p.m., Saturday and Sunday 8 a.m.-5 p.m PT) and sign up over the phone. Both English-speaking and Spanish-speaking operators are available. Callers needing information in other languages will be connected to a translation service that offers assistance in over 250 languages.\u003c/p>\n\u003cp>\u003cstrong>4. Find a Pfizer COVID vaccine for kids 5-11 through your county’s public health website.\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Visit your county’s public health website \u003c/a>to learn how your county is vaccinating its residents, and if they’ve begun to offer COVID vaccines to kids age 5-11 yet . The availability of vaccination appointments will be based on the doses that the state has supplied to your county. Your county may also be offering in-school vaccinations for kids.\u003c/p>\n\u003cp>You can sign up to receive notifications via email from your county to know when there is greater appointment availability. \u003ca href=\"https://www.kqed.org/news/11855623/where-can-i-get-a-covid-19-vaccine-in-the-bay-area-your-questions-answered#county\">Find your Bay Area county in our list:\u003c/a>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/vaccines\">Alameda County COVID-19 Vaccines\u003c/a> (you can also call the Alameda County Community Vaccination POD hotline: 510-208-4VAX [4829])\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/\">City of Berkeley COVID-19 Vaccines \u003c/a>(please note: the city of Berkeley has its own public health department, but also \u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/#signup\">recommends residents\u003c/a> sign up for Alameda County’s notifications.)\u003c/li>\n\u003cli>\u003ca href=\"https://covidvaccine.cchealth.org/COVIDVaccine/\">Contra Costa County COVID-19 Vaccines \u003c/a>(or call Contra Costa Health Services: 1-833-829-2626)\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/vaccine/pediatrics\">Marin County’s Pediatric COVID-19 Vaccines \u003c/a>(Marin residents without internet access can call 833-641-1988, and Marin says that people eligible to get help from this call center are ages 65 or older, living with disabilities and ages 18 or older, in need of home care or personal assistance, need language interpretation including ASL, have limited or no internet access or need help arranging transportation.)\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3096/COVID-19-Vaccines\">Napa County COVID-19 Vaccines\u003c/a> (or call the Napa County Public Information Call Center: 707-253-4540.)\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/covid-19-vaccine-san-francisco\">City and County of San Francisco COVID-19 Vaccines\u003c/a> (or call the San Francisco call center designed to help people who are 65 and older and those with disabilities who are unable to easily access the internet or schedule an appointment through their provider: 628-652-2700.)\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/covid-19-vaccination-program-overview\">San Mateo County COVID-19 Vaccines\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://covid19.sccgov.org/covid-19-vaccine-information\">Santa Clara County COVID-19 Vaccines\u003c/a> (contains links to \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/COVID19-vaccine-information-for-public.aspx#myturn\">vaccine sign-up pages \u003c/a>and phone numbers for various local medical providers.)\u003c/li>\n\u003cli>\u003ca href=\"https://solanocounty.com/depts/ph/coronavirus_links/covid_19_vaccines.asp\">Solano County COVID-19 Vaccines\u003c/a> (contains \u003ca href=\"https://solanocounty.com/depts/ph/coronavirus_links/covid_19_vaccines.asp\">a provider-by-provider list of phone numbers\u003c/a> to call about COVID-19 vaccines.)\u003c/li>\n\u003cli>\u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/vaccine-information/\">Sonoma County COVID-19 Vaccines\u003c/a> (contains \u003ca href=\"https://socoemergency.org/emergency/novel-coronavirus/vaccine-information/clinics/\">a provider-by-provider list of phone numbers\u003c/a> to call about COVID-19 vaccines.)\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003ca id=\"ask\">\u003c/a>Tell us: What else do you need to know about COVID vaccines for kids?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Most SF City Employees Met Monday's COVID Vaccine Deadline, But Over 900 Holdouts Risk Losing Their Jobs",
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"content": "\u003cp>Today was the big day.\u003c/p>\n\u003cp>As of Monday, more than 97% of San Francisco’s roughly 35,000 public employees had met the city’s Nov. 1 deadline to get fully vaccinated against the coronavirus, according to the city’s Department of Human Resources.\u003c/p>\n\u003cp>But that also means nearly 950 city employees — many of whom are essential front-line workers — have yet to comply with the mandate. Of those, close to 200 temporary employees are now likely out of a job, and some 750 civil service employees have been placed on paid administrative leave and await due process hearings — likely held within the month — to determine whether they qualify for religious or medical exemptions.\u003c/p>\n\u003cp>Those who don’t qualify could eventually lose their jobs, said Mawuli Tugbenyoh, chief of policy for the city’s Department of Human Resources.\u003c/p>\n\u003cp>“It’s never been the city’s goal at any point in this process to separate anyone from city service,” he said, noting that the city will continue to encourage its permanent employees to get vaccinated, and that there will be no penalty for missing the deadline if they do it soon. “The goal is to make sure we are protecting workplaces and employees, as well as the communities we serve in San Francisco.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Those workers forced to go on leave include almost 100 transit operators, as well as roughly 60 police officers, 20 sheriff’s deputies and 15 fire department staff, according to the mayor’s office.\u003c/p>\n\u003cp>“Muni certainly at this point has the highest number of unvaccinated employees,” Tugbenyoh said.\u003c/p>\n\u003cp>Due to that sudden drop in available MUNI operators, the \u003ca href=\"https://www.sfmta.com/blog/vaccine-related-service-changes-go-effect-november-1\">SFMTA on Monday began temporarily suspending “short” service on four Muni lines \u003c/a>— the buses that run on segments of longer routes. They include: 1 California Short, 14R Mission Rapid Short (weekdays only), 30 Stockton Short, and 49 Van Ness Short (weekends only).\u003c/p>\n\u003cp>Roger Marenco, president of the Transport Workers Union Local 250A, said the union has been doing everything it can to educate its members with facts, not opinions, about the vaccine, and is optimistic the number of unvaccinated transit operators will be sliced in half by the end of the month.\u003c/p>\n\u003cp>“There are some members who have yet to have their exemptions heard,” said Marenco. “Once that the process is over, we will have a much clearer number on who is left.”[aside postID=news_11890407,news_11893011,news_11892080 label='Related Posts']The deadline comes four months after \u003ca href=\"https://www.nytimes.com/2021/06/24/world/san-francisco-vaccine-mandate.html\">San Francisco became one of the first major cities in the country to announce a vaccine mandate for all city workers\u003c/a>.\u003c/p>\n\u003cp>Since then, the employee vaccination rate has jumped by 30%, Mayor London Breed said in a statement on Friday.\u003c/p>\n\u003cp>“This mandate is all about protecting the health of the public and of our workforce, and it is working,” Breed said.\u003c/p>\n\u003cp>Fully vaccinated city-employed office workers are now required to return to the office for at least two days a week. Breed said she hopes their return, along with the city’s high vaccination rate and relaxed mask mandate, will encourage the private sector to bring their employees back as well.\u003c/p>\n\u003cp>“We will continue to work with our labor partners to get the last remaining people vaccinated, but we are confident a fully vaccinated workforce is in the best interest of the public, our workers, and the recovery of our City,” Breed said.\u003c/p>\n\u003cp>In light of the deadline, the \u003ca href=\"https://www.blackemployeesalliance.com/\">Black Employees Alliance and Coalition Against Anti-Blackness\u003c/a> on Monday admonished the city’s leadership for denying accommodations to more than 20 of its members who it said should have qualified for medical or religious exemptions.\u003c/p>\n\u003cp>“While we support Mayor Breed’s leadership, we believe her touting of the City’s 97% vaccination rate as a success (while many in her workforce are losing their livelihoods due to the City’s hardlined position requiring vaccinations) – is soulless, callous, and unscrupulous,” the group said in a statement.\u003c/p>\n\u003cp>It said the vaccine mandate has had a “disproportionate impact on the City and County’s Black employees” and called the city’s handling of the situation “egregious, irresponsible, and tragic.”\u003c/p>\n\u003cp>“If they are approving [remote] work for certain people and terminating positions for others, we want to know why,” said Dante King, one of the group’s co-founders. He said his group intends to submit a public records request to see who has been granted or denied exemptions and if there are obvious racial disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s an ethics issue. When you look at Contra Costa County approving [almost all] exemptions requests and San Francisco has approved none for our members,” King added. “The leadership is being immoral.”\u003c/p>\n\n",
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"excerpt": "More than 97% of San Francisco's nearly 35,000 public employees met Monday's deadline. Most city workers who have still not gotten their shots have been placed on paid administrative leave, awaiting hearings to determine their job status.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Today was the big day.\u003c/p>\n\u003cp>As of Monday, more than 97% of San Francisco’s roughly 35,000 public employees had met the city’s Nov. 1 deadline to get fully vaccinated against the coronavirus, according to the city’s Department of Human Resources.\u003c/p>\n\u003cp>But that also means nearly 950 city employees — many of whom are essential front-line workers — have yet to comply with the mandate. Of those, close to 200 temporary employees are now likely out of a job, and some 750 civil service employees have been placed on paid administrative leave and await due process hearings — likely held within the month — to determine whether they qualify for religious or medical exemptions.\u003c/p>\n\u003cp>Those who don’t qualify could eventually lose their jobs, said Mawuli Tugbenyoh, chief of policy for the city’s Department of Human Resources.\u003c/p>\n\u003cp>“It’s never been the city’s goal at any point in this process to separate anyone from city service,” he said, noting that the city will continue to encourage its permanent employees to get vaccinated, and that there will be no penalty for missing the deadline if they do it soon. “The goal is to make sure we are protecting workplaces and employees, as well as the communities we serve in San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Those workers forced to go on leave include almost 100 transit operators, as well as roughly 60 police officers, 20 sheriff’s deputies and 15 fire department staff, according to the mayor’s office.\u003c/p>\n\u003cp>“Muni certainly at this point has the highest number of unvaccinated employees,” Tugbenyoh said.\u003c/p>\n\u003cp>Due to that sudden drop in available MUNI operators, the \u003ca href=\"https://www.sfmta.com/blog/vaccine-related-service-changes-go-effect-november-1\">SFMTA on Monday began temporarily suspending “short” service on four Muni lines \u003c/a>— the buses that run on segments of longer routes. They include: 1 California Short, 14R Mission Rapid Short (weekdays only), 30 Stockton Short, and 49 Van Ness Short (weekends only).\u003c/p>\n\u003cp>Roger Marenco, president of the Transport Workers Union Local 250A, said the union has been doing everything it can to educate its members with facts, not opinions, about the vaccine, and is optimistic the number of unvaccinated transit operators will be sliced in half by the end of the month.\u003c/p>\n\u003cp>“There are some members who have yet to have their exemptions heard,” said Marenco. “Once that the process is over, we will have a much clearer number on who is left.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The deadline comes four months after \u003ca href=\"https://www.nytimes.com/2021/06/24/world/san-francisco-vaccine-mandate.html\">San Francisco became one of the first major cities in the country to announce a vaccine mandate for all city workers\u003c/a>.\u003c/p>\n\u003cp>Since then, the employee vaccination rate has jumped by 30%, Mayor London Breed said in a statement on Friday.\u003c/p>\n\u003cp>“This mandate is all about protecting the health of the public and of our workforce, and it is working,” Breed said.\u003c/p>\n\u003cp>Fully vaccinated city-employed office workers are now required to return to the office for at least two days a week. Breed said she hopes their return, along with the city’s high vaccination rate and relaxed mask mandate, will encourage the private sector to bring their employees back as well.\u003c/p>\n\u003cp>“We will continue to work with our labor partners to get the last remaining people vaccinated, but we are confident a fully vaccinated workforce is in the best interest of the public, our workers, and the recovery of our City,” Breed said.\u003c/p>\n\u003cp>In light of the deadline, the \u003ca href=\"https://www.blackemployeesalliance.com/\">Black Employees Alliance and Coalition Against Anti-Blackness\u003c/a> on Monday admonished the city’s leadership for denying accommodations to more than 20 of its members who it said should have qualified for medical or religious exemptions.\u003c/p>\n\u003cp>“While we support Mayor Breed’s leadership, we believe her touting of the City’s 97% vaccination rate as a success (while many in her workforce are losing their livelihoods due to the City’s hardlined position requiring vaccinations) – is soulless, callous, and unscrupulous,” the group said in a statement.\u003c/p>\n\u003cp>It said the vaccine mandate has had a “disproportionate impact on the City and County’s Black employees” and called the city’s handling of the situation “egregious, irresponsible, and tragic.”\u003c/p>\n\u003cp>“If they are approving [remote] work for certain people and terminating positions for others, we want to know why,” said Dante King, one of the group’s co-founders. He said his group intends to submit a public records request to see who has been granted or denied exemptions and if there are obvious racial disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s an ethics issue. When you look at Contra Costa County approving [almost all] exemptions requests and San Francisco has approved none for our members,” King added. “The leadership is being immoral.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Skip to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#questions\">What questions do you have about COVID vaccines for kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Many parents and caregivers of young children have been eagerly waiting for U.S. health officials to officially authorize the Pfizer COVID vaccine for kids age 5-11.\u003c/p>\n\u003cp>Wondering when the vaccine will be available for kids? Depending on whether the CDC makes their final decision this week, children age 5-11 could begin getting vaccinations as early as next week, with the first little ones in line to be fully vaccinated by mid-December.\u003c/p>\n\u003cp>As California \u003ca href=\"https://www.kqed.org/news/11894030/california-prepares-for-rollout-of-pfizer-vaccine-for-younger-kids-ahead-of-likely-cdc-approval\" target=\"_blank\" rel=\"noopener noreferrer\">prepares for a statewide vaccine rollout for kids\u003c/a>, we know you may be wanting to gather as much information as you can about vaccinating the young kids in your home against COVID.\u003c/p>\n\u003cp>So we’re here to answer your questions, to help you and your loved ones feel prepared about children’s Pfizer COVID vaccines. Send us your question below, and you could see it answered in KQED’s reporting.\u003c/p>\n\u003ch3>\u003cstrong>\u003ca id=\"questions\">\u003c/a>\u003cbr>\nWhat questions do you have about children’s COVID-19 vaccines?\u003c/strong>\u003c/h3>\n\u003cp>[hearken id=\"8833\" src=\"https://modules.wearehearken.com/kqed/embed/8833.js\"]\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Skip to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#questions\">What questions do you have about COVID vaccines for kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Many parents and caregivers of young children have been eagerly waiting for U.S. health officials to officially authorize the Pfizer COVID vaccine for kids age 5-11.\u003c/p>\n\u003cp>Wondering when the vaccine will be available for kids? Depending on whether the CDC makes their final decision this week, children age 5-11 could begin getting vaccinations as early as next week, with the first little ones in line to be fully vaccinated by mid-December.\u003c/p>\n\u003cp>As California \u003ca href=\"https://www.kqed.org/news/11894030/california-prepares-for-rollout-of-pfizer-vaccine-for-younger-kids-ahead-of-likely-cdc-approval\" target=\"_blank\" rel=\"noopener noreferrer\">prepares for a statewide vaccine rollout for kids\u003c/a>, we know you may be wanting to gather as much information as you can about vaccinating the young kids in your home against COVID.\u003c/p>\n\u003cp>So we’re here to answer your questions, to help you and your loved ones feel prepared about children’s Pfizer COVID vaccines. Send us your question below, and you could see it answered in KQED’s reporting.\u003c/p>\n\u003ch3>\u003cstrong>\u003ca id=\"questions\">\u003c/a>\u003cbr>\nWhat questions do you have about children’s COVID-19 vaccines?\u003c/strong>\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Struggle is nothing new to Foxx Whitford.\u003c/p>\n\u003cp>He grew up desperately poor in Fairfield, losing a beloved brother to epilepsy and getting evicted from his home as a child. As a teenager, he joined the Marines to help put himself through college and completed a harrowing tour in Afghanistan. All of that hardship, he says, prepared him for one of his biggest life challenges: getting into and through nursing school during a pandemic.\u003c/p>\n\u003cp>“Every time things get hard, I always think about all those losses and hard times,” says Whitford, a nursing student at California State University, East Bay.\u003c/p>\n\u003cp>And everything about his nurse training has been hard. Whitford, a C-average student in high school, says he spent sleepless nights in community college, studying and teaching himself to learn. After nearly failing an anatomy course, he eventually made the dean’s list and won student-athlete awards. Still, when he tried to transfer to a four-year Bachelor of Science in nursing program, he lost out. There were some 800 others applying for 64 slots.\u003c/p>\n\u003cp>He waited a year to reapply and finally got in. Then the pandemic hit, making it even more difficult to get the clinical experience he needs to graduate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Across the country, hospitals desperate for nurses — especially in acute care —are trying to address intense burnout among health care workers and accelerated nurse retirements by hiring new graduates. They’re offering jobs to students even before they graduate, and in many cases offering bonuses and loan repayment as financial incentives. And the interest is there; \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">enrollments and applications in baccalaureate and advanced nursing degree programs increased last year\u003c/a>. Leaders in nursing say the trends — which predate the pandemic — are the same for certificate programs in licensed practical nursing, licensed vocational nursing and certified nursing assistant programs.\u003c/p>\n\u003cp>Yet — paradoxically — becoming a nurse has become more difficult, narrowing the pipeline for new nurses coming through the system.\u003c/p>\n\u003ch3>A lack of instructors is part of the problem\u003c/h3>\n\u003cp>One of the biggest bottlenecks in the system is long-standing: There are not enough people who teach nursing. Educators in the field are required to have advanced degrees, yet typically earn about half that of a nurse working the floor of a hospital.\u003c/p>\n\u003cp>The pandemic worsened those financial strains, forcing many educators to look for more lucrative work, says \u003ca href=\"http://www1.marin.edu/news/new-administrative-appointments\">Sharon Goldfarb\u003c/a>, who has advanced degrees in nursing care, has worked as an RN and family nurse practitioner and teaches nursing at several schools near San Francisco. Her spouse lost his job during the pandemic — one of the most common reasons educators are leaving, she says. She surveyed 91 community colleges in California and found that nursing faculty declined 30% since the pandemic began.\u003c/p>\n\u003cp>“To lose an additional 30% has been devastating,” she says. “There is not a school I know of that isn’t desperately looking for nursing faculty.”\u003c/p>\n\u003cp>That desperation is compounded by an aging demographic. With so many in their late 50s and 60s, \u003ca href=\"https://www.nursingoutlook.org/article/S0029-6554(16)30314-1/fulltext\">the country’s nursing faculty is continuing to decline, to about two-thirds what it was in 2015\u003c/a>.\u003c/p>\n\u003cp>Taken together, those factors are severely limiting the number of students that schools can accept, and in some cases it disrupts classes themselves.\u003c/p>\n\u003cp>“Some schools went on hiatus. Some schools reduced their enrollment, so they took even fewer students. Some schools … scrambled so much, they actually have to extend semesters,” Goldfarb says.\u003c/p>\n\u003ch3>The pandemic curtailed training programs\u003c/h3>\n\u003cp>In addition, since the beginning of the pandemic, nursing students have had a harder time getting the clinical or hands-on training required to graduate, because hospitals curtailed their training programs to control the risk of infection.\u003c/p>\n\u003cp>“Faculties and schools have found ways to innovate, to educate students by the use of the internet, distance learning and simulation labs,” says \u003ca href=\"https://www.montana.edu/nursing/directory/bozeman/1791290/peter-buerhaus\">Peter Buerhaus\u003c/a>, a professor and health economist at Montana State University’s College of Nursing who studies the nursing workforce. Those innovations have helped mitigate the impact of the pandemic on education, he says, but schools aren’t like factories that can ramp up their production.\u003c/p>\n\u003cp>The nursing shortage, he says, was more acute in the 1990s, when hospitals drastically cut back on staff to cut costs. But with the retirement of baby boomers, the influx of new nurses needs to keep up.\u003c/p>\n\u003cp>Last year, enrollment in baccalaureate and higher-level nursing degree programs increased, but colleges and universities (not including community college nursing programs) \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">still turned away more than 80,000 qualified applicants due to shortages of faculty, clinical sites and other resources\u003c/a>, according to the American Association of Colleges of Nursing.\u003c/p>\n\u003ch3>How one applicant persevered\u003c/h3>\n\u003cp>Whitford, the nursing student aiming to become an RN, is getting even more specialized training as an ER nurse. He says many people ask him how he has persevered through the gauntlet of nursing school. “‘Everything I have, I’ve always had to work extremely hard for,'” he says he tells them.[aside label=\"related coverage\" tag=\"nurses,covid-19,health care\"]\u003c/p>\n\u003cp>At age 10, shortly after his brother — whom he describes as his “best friend” and idol — died of epilepsy, Whitford started working at a bowling alley to supplement his father’s truck-driving income. “We had to struggle a lot when I was growing up, in terms of getting food on the table,” he says.\u003c/p>\n\u003cp>His early childhood tested him, he says, and ultimately deepened his resolve.\u003c/p>\n\u003cp>“Pursuing nursing,” he says, “was my ticket to doing everything that I wanted.” And that meant getting out of poverty and into meaningful work he loved.\u003c/p>\n\u003cp>His childhood experiences also made him feel comfortable in chaos. So when the pandemic hit, Whitford became even more eager to join the front lines: “I like being in tents outside in [expletive] conditions — terrible stuff that people don’t want to do,” he says. “I’m not always the strongest in those conditions, but I like working through them, so that way I can learn how to be strong in those situations. Because I feel like, a lot of times when things go wrong, people would look to me for answers.”\u003c/p>\n\u003cp>For many others, though, the path to nursing is too steep.\u003c/p>\n\u003ch3>Financial strain often gets in the way\u003c/h3>\n\u003cp>Over the past 15 years, Nathan Ballenger, 46, has tried three separate times to enroll in nursing school. He’s harbored lifelong dreams of a career in medicine, which the Colorado native considers heroic work. During the pandemic, he even got certified as an emergency medical technician, hoping that would give him a foot in the door and an advantage over his fellow nursing school applicants.\u003c/p>\n\u003cp>But the cost and difficulties of a nursing degree program and training — and the pay cut he would have had to take compared to what he earns at his current sales job — meant he simply couldn’t afford to go in that direction.\u003c/p>\n\u003cp>“It’s hard for me to say that I see a path toward that,” he says, “regardless of the fact that I hold it in my mind and in my heart as something that I sure wish I could have done in this lifetime.”\u003c/p>\n\u003cp>Hospitals recognize the need to lower some of the barriers to becoming a nurse, while maintaining high standards of education, training and patient care.\u003c/p>\n\u003cp>Hospitals are not only offering full scholarships and loan repayment to recruit registered nurses these days, but many also are offering to put new graduates through intensive training to acquire special skills, says Robin Begley, CEO of the American Organization for Nursing Leadership and chief nursing officer and senior vice president of workforce for the American Hospital Association. Many hospitals also are partnering with nursing schools to do what they can to widen the pipeline by allowing hospital nurses to take time off to teach, for example.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We really have to put a real emphasis on the pipeline and making sure that everybody who wants to become a nurse has the opportunity to be able to secure a position in a nursing program,” Begley says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+U.S.+needs+more+nurses%2C+but+nursing+schools+don%27t+have+enough+slots&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Across the country, hospitals desperate for nurses — especially in acute care —are trying to address intense burnout among health care workers and accelerated nurse retirements by hiring new graduates. They’re offering jobs to students even before they graduate, and in many cases offering bonuses and loan repayment as financial incentives. And the interest is there; \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">enrollments and applications in baccalaureate and advanced nursing degree programs increased last year\u003c/a>. Leaders in nursing say the trends — which predate the pandemic — are the same for certificate programs in licensed practical nursing, licensed vocational nursing and certified nursing assistant programs.\u003c/p>\n\u003cp>Yet — paradoxically — becoming a nurse has become more difficult, narrowing the pipeline for new nurses coming through the system.\u003c/p>\n\u003ch3>A lack of instructors is part of the problem\u003c/h3>\n\u003cp>One of the biggest bottlenecks in the system is long-standing: There are not enough people who teach nursing. Educators in the field are required to have advanced degrees, yet typically earn about half that of a nurse working the floor of a hospital.\u003c/p>\n\u003cp>The pandemic worsened those financial strains, forcing many educators to look for more lucrative work, says \u003ca href=\"http://www1.marin.edu/news/new-administrative-appointments\">Sharon Goldfarb\u003c/a>, who has advanced degrees in nursing care, has worked as an RN and family nurse practitioner and teaches nursing at several schools near San Francisco. Her spouse lost his job during the pandemic — one of the most common reasons educators are leaving, she says. She surveyed 91 community colleges in California and found that nursing faculty declined 30% since the pandemic began.\u003c/p>\n\u003cp>“To lose an additional 30% has been devastating,” she says. “There is not a school I know of that isn’t desperately looking for nursing faculty.”\u003c/p>\n\u003cp>That desperation is compounded by an aging demographic. With so many in their late 50s and 60s, \u003ca href=\"https://www.nursingoutlook.org/article/S0029-6554(16)30314-1/fulltext\">the country’s nursing faculty is continuing to decline, to about two-thirds what it was in 2015\u003c/a>.\u003c/p>\n\u003cp>Taken together, those factors are severely limiting the number of students that schools can accept, and in some cases it disrupts classes themselves.\u003c/p>\n\u003cp>“Some schools went on hiatus. Some schools reduced their enrollment, so they took even fewer students. Some schools … scrambled so much, they actually have to extend semesters,” Goldfarb says.\u003c/p>\n\u003ch3>The pandemic curtailed training programs\u003c/h3>\n\u003cp>In addition, since the beginning of the pandemic, nursing students have had a harder time getting the clinical or hands-on training required to graduate, because hospitals curtailed their training programs to control the risk of infection.\u003c/p>\n\u003cp>“Faculties and schools have found ways to innovate, to educate students by the use of the internet, distance learning and simulation labs,” says \u003ca href=\"https://www.montana.edu/nursing/directory/bozeman/1791290/peter-buerhaus\">Peter Buerhaus\u003c/a>, a professor and health economist at Montana State University’s College of Nursing who studies the nursing workforce. Those innovations have helped mitigate the impact of the pandemic on education, he says, but schools aren’t like factories that can ramp up their production.\u003c/p>\n\u003cp>The nursing shortage, he says, was more acute in the 1990s, when hospitals drastically cut back on staff to cut costs. But with the retirement of baby boomers, the influx of new nurses needs to keep up.\u003c/p>\n\u003cp>Last year, enrollment in baccalaureate and higher-level nursing degree programs increased, but colleges and universities (not including community college nursing programs) \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">still turned away more than 80,000 qualified applicants due to shortages of faculty, clinical sites and other resources\u003c/a>, according to the American Association of Colleges of Nursing.\u003c/p>\n\u003ch3>How one applicant persevered\u003c/h3>\n\u003cp>Whitford, the nursing student aiming to become an RN, is getting even more specialized training as an ER nurse. He says many people ask him how he has persevered through the gauntlet of nursing school. “‘Everything I have, I’ve always had to work extremely hard for,'” he says he tells them.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At age 10, shortly after his brother — whom he describes as his “best friend” and idol — died of epilepsy, Whitford started working at a bowling alley to supplement his father’s truck-driving income. “We had to struggle a lot when I was growing up, in terms of getting food on the table,” he says.\u003c/p>\n\u003cp>His early childhood tested him, he says, and ultimately deepened his resolve.\u003c/p>\n\u003cp>“Pursuing nursing,” he says, “was my ticket to doing everything that I wanted.” And that meant getting out of poverty and into meaningful work he loved.\u003c/p>\n\u003cp>His childhood experiences also made him feel comfortable in chaos. So when the pandemic hit, Whitford became even more eager to join the front lines: “I like being in tents outside in [expletive] conditions — terrible stuff that people don’t want to do,” he says. “I’m not always the strongest in those conditions, but I like working through them, so that way I can learn how to be strong in those situations. Because I feel like, a lot of times when things go wrong, people would look to me for answers.”\u003c/p>\n\u003cp>For many others, though, the path to nursing is too steep.\u003c/p>\n\u003ch3>Financial strain often gets in the way\u003c/h3>\n\u003cp>Over the past 15 years, Nathan Ballenger, 46, has tried three separate times to enroll in nursing school. He’s harbored lifelong dreams of a career in medicine, which the Colorado native considers heroic work. During the pandemic, he even got certified as an emergency medical technician, hoping that would give him a foot in the door and an advantage over his fellow nursing school applicants.\u003c/p>\n\u003cp>But the cost and difficulties of a nursing degree program and training — and the pay cut he would have had to take compared to what he earns at his current sales job — meant he simply couldn’t afford to go in that direction.\u003c/p>\n\u003cp>“It’s hard for me to say that I see a path toward that,” he says, “regardless of the fact that I hold it in my mind and in my heart as something that I sure wish I could have done in this lifetime.”\u003c/p>\n\u003cp>Hospitals recognize the need to lower some of the barriers to becoming a nurse, while maintaining high standards of education, training and patient care.\u003c/p>\n\u003cp>Hospitals are not only offering full scholarships and loan repayment to recruit registered nurses these days, but many also are offering to put new graduates through intensive training to acquire special skills, says Robin Begley, CEO of the American Organization for Nursing Leadership and chief nursing officer and senior vice president of workforce for the American Hospital Association. Many hospitals also are partnering with nursing schools to do what they can to widen the pipeline by allowing hospital nurses to take time off to teach, for example.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We really have to put a real emphasis on the pipeline and making sure that everybody who wants to become a nurse has the opportunity to be able to secure a position in a nursing program,” Begley says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+U.S.+needs+more+nurses%2C+but+nursing+schools+don%27t+have+enough+slots&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Federal health regulators said late Friday that kid-size doses of Pfizer’s COVID-19 vaccine appear highly effective at preventing symptomatic infections in elementary school children and caused no unexpected safety issues, as the U.S. weighs beginning vaccinations in youngsters.\u003c/p>\n\u003cp>The Food and Drug Administration posted its analysis of Pfizer’s data ahead of a public meeting next week to debate whether the shots are ready for the nation’s roughly 28 million children age 5 to 11. The agency will ask a panel of outside vaccine experts to vote on that question.\u003c/p>\n\u003cp>In their analysis, FDA scientists concluded that in almost every scenario the vaccine’s benefit for preventing hospitalizations and death from COVID-19 would outweigh any serious potential side effects in children. But agency reviewers stopped short of calling for Pfizer’s shot to be authorized. [aside postID=\"science_1976827\"]\u003c/p>\n\u003cp>The agency will put that question to its panel of independent advisers next Tuesday and weigh their advice before making its own decision.\u003c/p>\n\u003cp>If the FDA authorizes the shots, the Centers for Disease Control and Prevention will make additional recommendations on who should receive them the first week of November. Children could begin getting vaccinations early next month — with the first youngsters in line fully protected by mid-December.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Full-strength Pfizer shots already are recommended for anyone 12 or older, but pediatricians and many parents are anxiously awaiting protection for younger children to stem infections from the extra-contagious delta variant and help keep kids in school.\u003c/p>\n\u003cp>[pullquote]The FDA review affirmed results from Pfizer posted earlier in the day showing that the two-dose shot was nearly 91% effective at preventing symptomatic infection in young children. [/pullquote]\u003cbr>\nThe FDA review affirmed results from Pfizer posted earlier in the day showing that the two-dose shot was nearly 91% effective at preventing symptomatic infection in young children. Researchers calculated the figure based on 16 COVID-19 cases in youngsters given placebo shots versus three cases among vaccinated children. There were no severe illnesses reported among any of the youngsters, but the vaccinated ones had much milder symptoms than their unvaccinated counterparts.\u003c/p>\n\u003cp>Most of the study data was collected in the U.S. during August and September, when the delta variant had become the dominant COVID-19 strain.\u003c/p>\n\u003cp>The FDA review found no new or unexpected side effects. Those that did occur mostly consisted of sore arms, fever or achiness.\u003c/p>\n\u003cp>However, FDA scientists noted that the study wasn’t large enough to detect extremely rare side effects, including myocarditis, a type of heart inflammation that occasionally occurs after the second dose.\u003c/p>\n\u003cp>The agency used statistical modeling to try to predict how many hospitalizations and deaths from COVID-19 the vaccine would prevent versus the number of potential heart side effects it might cause. In four scenarios of the pandemic, the vaccine clearly prevented more hospitalizations than would be expected from the heart side effect. Only when virus cases were extremely low could the vaccine cause more hospitalizations than it would prevent. But overall, regulators concluded that the vaccine’s protective benefits “would clearly outweigh” its risks.[aside tag=\"pfizer\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>While children run a lower risk of severe illness or death than older people, COVID-19 has killed more than 630 Americans 18 and under, according to the CDC. Nearly 6.2 million children have been infected with the coronavirus, more than 1.1 million in the last six weeks as the delta variant surged, the American Academy of Pediatrics says.\u003c/p>\n\u003cp>The Biden administration has purchased enough kid-size doses — in special, orange-capped vials to distinguish them from adult vaccine — for the nation’s 5- to 11-year-olds. If the vaccine is cleared, millions of doses will be promptly shipped around the country, along with kid-size needles.\u003c/p>\n\u003cp>More than 25,000 pediatricians and primary care providers already have signed up to get the shots into little arms.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>\u003cem>AP medical writer Lindsey Tanner contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>___\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Federal health regulators said late Friday that kid-size doses of Pfizer’s COVID-19 vaccine appear highly effective at preventing symptomatic infections in elementary school children and caused no unexpected safety issues, as the U.S. weighs beginning vaccinations in youngsters.\u003c/p>\n\u003cp>The Food and Drug Administration posted its analysis of Pfizer’s data ahead of a public meeting next week to debate whether the shots are ready for the nation’s roughly 28 million children age 5 to 11. The agency will ask a panel of outside vaccine experts to vote on that question.\u003c/p>\n\u003cp>In their analysis, FDA scientists concluded that in almost every scenario the vaccine’s benefit for preventing hospitalizations and death from COVID-19 would outweigh any serious potential side effects in children. But agency reviewers stopped short of calling for Pfizer’s shot to be authorized. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The agency will put that question to its panel of independent advisers next Tuesday and weigh their advice before making its own decision.\u003c/p>\n\u003cp>If the FDA authorizes the shots, the Centers for Disease Control and Prevention will make additional recommendations on who should receive them the first week of November. Children could begin getting vaccinations early next month — with the first youngsters in line fully protected by mid-December.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nThe FDA review affirmed results from Pfizer posted earlier in the day showing that the two-dose shot was nearly 91% effective at preventing symptomatic infection in young children. Researchers calculated the figure based on 16 COVID-19 cases in youngsters given placebo shots versus three cases among vaccinated children. There were no severe illnesses reported among any of the youngsters, but the vaccinated ones had much milder symptoms than their unvaccinated counterparts.\u003c/p>\n\u003cp>Most of the study data was collected in the U.S. during August and September, when the delta variant had become the dominant COVID-19 strain.\u003c/p>\n\u003cp>The FDA review found no new or unexpected side effects. Those that did occur mostly consisted of sore arms, fever or achiness.\u003c/p>\n\u003cp>However, FDA scientists noted that the study wasn’t large enough to detect extremely rare side effects, including myocarditis, a type of heart inflammation that occasionally occurs after the second dose.\u003c/p>\n\u003cp>The agency used statistical modeling to try to predict how many hospitalizations and deaths from COVID-19 the vaccine would prevent versus the number of potential heart side effects it might cause. In four scenarios of the pandemic, the vaccine clearly prevented more hospitalizations than would be expected from the heart side effect. Only when virus cases were extremely low could the vaccine cause more hospitalizations than it would prevent. But overall, regulators concluded that the vaccine’s protective benefits “would clearly outweigh” its risks.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While children run a lower risk of severe illness or death than older people, COVID-19 has killed more than 630 Americans 18 and under, according to the CDC. Nearly 6.2 million children have been infected with the coronavirus, more than 1.1 million in the last six weeks as the delta variant surged, the American Academy of Pediatrics says.\u003c/p>\n\u003cp>The Biden administration has purchased enough kid-size doses — in special, orange-capped vials to distinguish them from adult vaccine — for the nation’s 5- to 11-year-olds. If the vaccine is cleared, millions of doses will be promptly shipped around the country, along with kid-size needles.\u003c/p>\n\u003cp>More than 25,000 pediatricians and primary care providers already have signed up to get the shots into little arms.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>\u003cem>AP medical writer Lindsey Tanner contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003cem>___\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "one-step-closer-fda-authorizes-moderna-and-jj-covid-vaccine-boosters-with-expected-review-by-cdc-thursday",
"title": "One Step Closer: FDA Authorizes Moderna and J&J COVID Vaccine Boosters, With Expected CDC Review Thursday",
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"headTitle": "One Step Closer: FDA Authorizes Moderna and J&J COVID Vaccine Boosters, With Expected CDC Review Thursday | KQED",
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"content": "\u003cp>The Food and Drug Administration on Wednesday authorized booster doses of both Moderna and Johnson & Johnson COVID-19 vaccines.\u003c/p>\n\u003cp>The move follows a unanimous vote last week by a committee of independent advisers who backed the boosters.\u003c/p>\n\u003cp>In a related decision, the FDA also said people can get boosters that are a different brand from the original vaccines they received. For instance, a person who got a Johnson & Johnson vaccine can get a booster from Moderna or Pfizer-BioNTech (\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-authorizes-booster-dose-pfizer-biontech-covid-19-vaccine-certain-populations\">which was approved in September\u003c/a>).\u003c/p>\n\u003cp>On Thursday, a committee of advisers to the Centers for Disease Control and Prevention is scheduled to meet to discuss COVID-19 vaccine booster shots and make recommendations on their use. The CDC director makes the final call on vaccine guidelines, after which the rollout can officially begin.\u003c/p>\n\u003cp>The moves open the gate for boosters to be used more widely.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The available data suggest waning immunity in some populations who are fully vaccinated,” Janet Woodcock, the acting FDA commissioner, said in a statement. “The availability of these authorized boosters is important for continued protection against COVID-19 disease.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.medrxiv.org/content/10.1101/2021.10.10.21264827v1\">study of the mix-and-match approach\u003c/a>, funded by the National Institutes of Health, found no safety concerns. Unmatched boosters were at least as good in stimulating antibodies as matched ones, the study found, and in some cases the mixed approach appeared to work much better.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"booster-shots\"]By giving its blessing to the use of a vaccine combination, the FDA authorization could make it easier to give booster shots in nursing homes where residents haven’t all received the same original immunizations.\u003c/p>\n\u003cp>“From a public health perspective, there’s a clear need in some situations for some individuals to receive a different vaccine,” said Dr. Amanda Cohn, chief medical officer at the CDC’s National Center for Immunization and Respiratory Diseases, during last week’s FDA meeting.\u003c/p>\n\u003cp>The move could also make it easier for a wide range of people to get boosters, as any available shot would suffice.\u003c/p>\n\u003cp>Dr. Mark Sawyer, a committee member from Rady Children’s Hospital in San Diego, applauded ease of access under the mix-and-match approach. “I’m sold already,” he said, during the committee’s deliberations. “And that’s because I agree completely with Dr. Cohn’s comments that we need flexibility and improved access for everybody, which the flexibility of being able to mix and match will allow.”\u003c/p>\n\u003cp>If the CDC approves the Moderna authorization on Thursday, people who got the company’s two-shot vaccine at least six months beforehand could get a booster. Those eligible would be people 65 years and older, and people 18 to 64 who are either at high risk of severe COVID-19 or whose work or institutional exposure puts them at high risk of contracting the virus.\u003c/p>\n\u003cp>The FDA authorization comes after a committee of \u003ca href=\"https://www.npr.org/sections/health-shots/2021/10/14/1046079675/experts-recommend-that-fda-should-authorize-moderna-covid-vaccine-booster\">advisers voted 19-0 in support of the booster\u003c/a> last Thursday. The scope of the Moderna authorization matches the one the FDA gave to Pfizer COVID-19 booster doses in September.\u003c/p>\n\u003cp>One difference: Moderna’s COVID-19 vaccine booster is half the dose of the initial shots used in its two-shot vaccination: 50 micrograms of mRNA versus 100 micrograms per each initial shot. The Pfizer vaccine, meanwhile, uses a third identical dose.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.npr.org/sections/health-shots/2021/10/14/1046079675/experts-recommend-that-fda-should-authorize-moderna-covid-vaccine-booster\">FDA also authorized a booster dose of the J&J vaccine\u003c/a> that people 18 and older can get at least two months after initial immunization. A study published by the CDC in September showed \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7038e1.htm\">the J&J vaccine was about 68% effective\u003c/a> about a month after the shot in keeping people out of the hospital for COVID-19. By comparison, Moderna’s vaccine was 92% effective, and Pfizer’s 77%, about four months after.\u003c/p>\n\u003cp>Several committee members noted that people were already getting booster doses and using a mix-and-match approach on their own.\u003c/p>\n\u003cp>“Many Americans are taking matters into their own hands,” said Dr. Ofer Levy, a professor of pediatrics at Harvard Medical School. “I’m reading in the media that people are getting boosters or mixing different products through their primary care providers, or not revealing what they got before. In the real world, all these kinds of combinations of extra boosters are already happening.”\u003c/p>\n\u003cp>More than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-onedose-pop-12yr\">9 million people in the U.S. have received a Pfizer booster\u003c/a>, according to data from the Centers for Disease Control and Prevention. CDC data also shows that more than 1.6 million people have received a Moderna booster and more than 11,000 another shot of the J&J vaccine — despite lacking official approval.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ofer asked the FDA to act quickly: “I think it’s a matter of some urgency for [the] FDA to help sort out what is admittedly a complicated and challenging scenario. We can’t hide from it. And I do think we need to give guidance to the public.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+FDA+authorizes+Moderna+and+J%26J+COVID+vaccine+boosters&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "The Food and Drug Administration also gave the OK for people to get boosters that are a different brand from the vaccine they originally got. The CDC makes the final call on vaccine guidelines — after the agency issues its guidance, the rollout can officially begin.",
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"title": "One Step Closer: FDA Authorizes Moderna and J&J COVID Vaccine Boosters, With Expected CDC Review Thursday | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Food and Drug Administration on Wednesday authorized booster doses of both Moderna and Johnson & Johnson COVID-19 vaccines.\u003c/p>\n\u003cp>The move follows a unanimous vote last week by a committee of independent advisers who backed the boosters.\u003c/p>\n\u003cp>In a related decision, the FDA also said people can get boosters that are a different brand from the original vaccines they received. For instance, a person who got a Johnson & Johnson vaccine can get a booster from Moderna or Pfizer-BioNTech (\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-authorizes-booster-dose-pfizer-biontech-covid-19-vaccine-certain-populations\">which was approved in September\u003c/a>).\u003c/p>\n\u003cp>On Thursday, a committee of advisers to the Centers for Disease Control and Prevention is scheduled to meet to discuss COVID-19 vaccine booster shots and make recommendations on their use. The CDC director makes the final call on vaccine guidelines, after which the rollout can officially begin.\u003c/p>\n\u003cp>The moves open the gate for boosters to be used more widely.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The available data suggest waning immunity in some populations who are fully vaccinated,” Janet Woodcock, the acting FDA commissioner, said in a statement. “The availability of these authorized boosters is important for continued protection against COVID-19 disease.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.medrxiv.org/content/10.1101/2021.10.10.21264827v1\">study of the mix-and-match approach\u003c/a>, funded by the National Institutes of Health, found no safety concerns. Unmatched boosters were at least as good in stimulating antibodies as matched ones, the study found, and in some cases the mixed approach appeared to work much better.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>By giving its blessing to the use of a vaccine combination, the FDA authorization could make it easier to give booster shots in nursing homes where residents haven’t all received the same original immunizations.\u003c/p>\n\u003cp>“From a public health perspective, there’s a clear need in some situations for some individuals to receive a different vaccine,” said Dr. Amanda Cohn, chief medical officer at the CDC’s National Center for Immunization and Respiratory Diseases, during last week’s FDA meeting.\u003c/p>\n\u003cp>The move could also make it easier for a wide range of people to get boosters, as any available shot would suffice.\u003c/p>\n\u003cp>Dr. Mark Sawyer, a committee member from Rady Children’s Hospital in San Diego, applauded ease of access under the mix-and-match approach. “I’m sold already,” he said, during the committee’s deliberations. “And that’s because I agree completely with Dr. Cohn’s comments that we need flexibility and improved access for everybody, which the flexibility of being able to mix and match will allow.”\u003c/p>\n\u003cp>If the CDC approves the Moderna authorization on Thursday, people who got the company’s two-shot vaccine at least six months beforehand could get a booster. Those eligible would be people 65 years and older, and people 18 to 64 who are either at high risk of severe COVID-19 or whose work or institutional exposure puts them at high risk of contracting the virus.\u003c/p>\n\u003cp>The FDA authorization comes after a committee of \u003ca href=\"https://www.npr.org/sections/health-shots/2021/10/14/1046079675/experts-recommend-that-fda-should-authorize-moderna-covid-vaccine-booster\">advisers voted 19-0 in support of the booster\u003c/a> last Thursday. The scope of the Moderna authorization matches the one the FDA gave to Pfizer COVID-19 booster doses in September.\u003c/p>\n\u003cp>One difference: Moderna’s COVID-19 vaccine booster is half the dose of the initial shots used in its two-shot vaccination: 50 micrograms of mRNA versus 100 micrograms per each initial shot. The Pfizer vaccine, meanwhile, uses a third identical dose.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.npr.org/sections/health-shots/2021/10/14/1046079675/experts-recommend-that-fda-should-authorize-moderna-covid-vaccine-booster\">FDA also authorized a booster dose of the J&J vaccine\u003c/a> that people 18 and older can get at least two months after initial immunization. A study published by the CDC in September showed \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7038e1.htm\">the J&J vaccine was about 68% effective\u003c/a> about a month after the shot in keeping people out of the hospital for COVID-19. By comparison, Moderna’s vaccine was 92% effective, and Pfizer’s 77%, about four months after.\u003c/p>\n\u003cp>Several committee members noted that people were already getting booster doses and using a mix-and-match approach on their own.\u003c/p>\n\u003cp>“Many Americans are taking matters into their own hands,” said Dr. Ofer Levy, a professor of pediatrics at Harvard Medical School. “I’m reading in the media that people are getting boosters or mixing different products through their primary care providers, or not revealing what they got before. In the real world, all these kinds of combinations of extra boosters are already happening.”\u003c/p>\n\u003cp>More than \u003ca href=\"https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-onedose-pop-12yr\">9 million people in the U.S. have received a Pfizer booster\u003c/a>, according to data from the Centers for Disease Control and Prevention. CDC data also shows that more than 1.6 million people have received a Moderna booster and more than 11,000 another shot of the J&J vaccine — despite lacking official approval.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ofer asked the FDA to act quickly: “I think it’s a matter of some urgency for [the] FDA to help sort out what is admittedly a complicated and challenging scenario. We can’t hide from it. And I do think we need to give guidance to the public.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+FDA+authorizes+Moderna+and+J%26J+COVID+vaccine+boosters&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "will-october-rain-end-fire-season-and-the-drought-what-wet-weather-means-for-the-bay-area",
"title": "Will October Rain End Fire Season and the Drought? What Wet Weather Means for the Bay Area",
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"headTitle": "Will October Rain End Fire Season and the Drought? What Wet Weather Means for the Bay Area | KQED",
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"content": "\u003cp>Skip to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#resources\">Where can I find the latest on Bay Area weather?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">How do I sign up for emergency weather updates?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>A series of heavy storms has hit the Bay Area and Northern California and is expected to continue through the weekend, bringing potentially record-breaking amounts of rain of up to 7 inches in parched parts of the state. The rains coming later this week could be the biggest storms the state’s Central Valley region has seen in nine months.\u003c/p>\n\u003cp>Local residents got a taste of what’s coming over the weekend when smaller storms sprinkled some areas in the valley while dumping 10 inches of snow in higher elevations of the Sierra Nevada.\u003c/p>\n\u003cp>“This is definitely going to be one of those ground-soaking events,” said Emily Heller, a meteorologist with the National Weather Service in Sacramento.\u003c/p>\n\u003cp>In a statement from the California Governor’s Office of Emergency Services Tuesday, officials advised that all Californians should be prepared. Officials are most concerned about mudslides in areas with burn scars from the Caldor and Dixie fires. The most dangerous conditions occur hours after a storm when the rain stops and water is absorbed into the earth.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">If you’re concerned about weather conditions in your area, sign up for alerts through your county.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">A series of weather system will bring periods of light to moderate rainfall ️ to the \u003ca href=\"https://twitter.com/hashtag/BayArea?src=hash&ref_src=twsrc%5Etfw\">#BayArea\u003c/a> & \u003ca href=\"https://twitter.com/hashtag/CentralCoast?src=hash&ref_src=twsrc%5Etfw\">#CentralCoast\u003c/a> through Friday. A more potent atmospheric river then takes aim on the region late in the weekend with widespread rainfall and gusty winds. Stay tuned!⚠️\u003ca href=\"https://twitter.com/hashtag/CAwx?src=hash&ref_src=twsrc%5Etfw\">#CAwx\u003c/a> \u003ca href=\"https://twitter.com/hashtag/BayAreaWX?src=hash&ref_src=twsrc%5Etfw\">#BayAreaWX\u003c/a> \u003ca href=\"https://t.co/usmXHUzWfk\">pic.twitter.com/usmXHUzWfk\u003c/a>\u003c/p>\n\u003cp>— NWS Bay Area (@NWSBayArea) \u003ca href=\"https://twitter.com/NWSBayArea/status/1450800366941990912?ref_src=twsrc%5Etfw\">October 20, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>In anticipation of more wet weather, KQED host Natalia Navarro sat down with reporter Dan Brekke to find out what storms could mean for California’s drought and the fire season.\u003c/p>\n\u003cp>\u003ci data-stringify-type=\"italic\">This interview from Oct. 19 has been edited for length and clarity.\u003c/i>\u003c/p>\n\u003ch3>Natalia Navarro: What is significant about this forecast?\u003c/h3>\n\u003cp>\u003cstrong>Dan Brekke\u003c/strong>: It’s a huge relief to people just to see rain, period, after our usual summer dry spell. But we’re also in a really serious, prolonged drought. I think the main thing that we’re going to see is a lot of rain. We’re going to get one round of rain coming in tonight into tomorrow, another one Thursday into Friday, and then over the weekend starting Sunday and into Monday. [We could see] potentially really heavy rains that could fall across most of the northern half of the state. This is an opportunity — perhaps — to see the end of the fire season that has also been pretty rough on the state all year.\u003c/p>\n\u003ch3>How much rain can the Bay Area expect?\u003c/h3>\n\u003cp>It depends on where you are. Around the Bay Area, the rainiest locations are in northern Sonoma County and in the Santa Cruz Mountains, and those places could see — by the end of this whole series of storms — more than 6 inches of rain. [In] San Francisco, Oakland, Richmond, we could see maybe 3 to 4 inches of rain, which is a lot for October. We’ll see much less in the South Bay and further south.\u003cbr>\n[aside postID=science_1935067 hero='https://ww2.kqed.org/app/uploads/sites/39/2012/11/atmoriver.png']\u003c/p>\n\u003cp>When you expand out and start to look beyond, there’s going to be really heavy rain in the Feather River watershed — where Lake Oroville is, around Shasta Lake and at the head of the Sacramento River. And in the northern and central Sierra, very heavy precipitation [is expected] in all of those places over the next week.\u003c/p>\n\u003ch3>What could this amount of rain mean for this year’s fire season?\u003c/h3>\n\u003cp>The hope is that if this forecast pans out for the next week, there will be enough rain over the northern half of the state that it’s really going to end the fire threat for the season — meaning that the vegetation that might burn in a fire is basically thoroughly soaked enough that it’s just not going to be something that’s going to catch fire if there was a thunderstorm (which is less likely at this time of year) or in the event of a big windstorm.\u003c/p>\n\u003cp>Unfortunately, for the southern half of the state, we’re not going to get enough rain over this period to really end the fire threat, from, say, Monterey County south to Los Angeles and San Diego counties.\u003c/p>\n\u003ch3>Are there any concerns about flooding or mudslides?\u003c/h3>\n\u003cp>There are concerns, and those concerns are directly related to the fires that we’ve seen over the last couple of years. We had immense fires around the Bay Area and throughout Northern California last year and again this year. And all of those areas are places that are prone to debris flows and landslides because of the heavy amounts of rain that could be falling — especially the storm that’s coming in Sunday and Monday.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://water.ca.gov/What-We-Do/Flood-Preparedness/Flood-Preparedness-Week\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>How to prepare for floods in California \u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Will this series of storms help us get out of this drought?\u003c/h3>\n\u003cp>It’s not really going to end the drought. I like the term that the National Weather Service office for the Bay Area uses: They speak of “beneficial rains,” and that’s really a short-term thing.\u003c/p>\n\u003cp>This is really a series of storms that is going to bring us some short-term benefits. Some of our reservoirs may bounce back from where they’ve been, and we’re going to get enough rain across our terribly brown, dry-looking landscape that will green up later in the fall.\u003c/p>\n\u003cp>But the drought is really a long-term issue. The long-term climate forecast for this coming season is that we’re in a La Niña pattern, which generally means less rain for Northern California than a normal year.\u003c/p>\n\u003cp>The bottom line [is that] what we really need to get is three really wet months in December, January and February to really say that we were out of the drought. But even then, you’re dealing with long-term effects. [The drought] really won’t be over until we have several seasons of normal rainfall.\u003c/p>\n\u003cfigure id=\"attachment_11893022\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11893022\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/G17_sector_psw_GEOCOLOR_24fr_20211020-1202.gif\" alt=\"Animated gif of a satellite image of the Bay Area region with clouds and rainstorms moving through the frame.\" width=\"600\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Satellite image captured the morning of October 20, 2021. \u003ccite>(NWS Bay Area)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"resources\">\u003c/a>Resources for tracking Bay Area weather\u003c/h3>\n\u003cp>There are plenty of online resources and apps available for tracking weather in real time, especially ahead of rain, storms and extreme conditions. Below is a list of sites KQED regularly uses in our reporting.\u003c/p>\n\u003cp>Websites to track basic weather information:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.wrh.noaa.gov/mtr/\" target=\"_blank\" rel=\"noopener noreferrer\">National Weather Service, San Francisco Bay Area\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cnrfc.noaa.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">California Nevada River Forecast Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://opensnow.com/dailysnow/tahoe\" target=\"_blank\" rel=\"noopener noreferrer\">Tahoe Daily Snow\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Comprehensive scientific sites for weather watch:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://earth.nullschool.net/\" target=\"_blank\" rel=\"noopener noreferrer\">Earth\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cpc.ncep.noaa.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">National Oceanic and Atmospheric Administration (NOAA) Climate Prediction Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.weatherwest.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Weather West: California weather and climate perspectives\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"alerts\">\u003c/a>Where to sign up for Bay Area emergency weather alerts\u003c/h3>\n\u003cp>\u003ca href=\"https://www.acgov.org/emergencysite/\" target=\"_blank\" rel=\"noopener noreferrer\">Alameda County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cityofberkeley.info/EmergencyAlerting/\" target=\"_blank\" rel=\"noopener noreferrer\">City of Berkeley emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.contracosta.ca.gov/2269/Emergency-Alerts-Resources\" target=\"_blank\" rel=\"noopener noreferrer\">Contra Costa County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://emergency.marincounty.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Marin County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.countyofnapa.org/2481/Emergency-Alerts\" target=\"_blank\" rel=\"noopener noreferrer\">Napa County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://sfdem.org/get-city-alerts\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://cmo.smcgov.org/smc-alert\" target=\"_blank\" rel=\"noopener noreferrer\">San Mateo County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://emergencymanagement.sccgov.org/AlertSCC\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.solanocounty.com/depts/oes/emergency.asp\" target=\"_blank\" rel=\"noopener noreferrer\">Solano County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://socoemergency.org/get-ready/sign-up/\" target=\"_blank\" rel=\"noopener noreferrer\">Sonoma County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003cem>\u003ci data-stringify-type=\"italic\">This post includes reporting from The Associated Press. \u003c/i>KQED’s Dan Brekke, Natalia Navarro, Lina Blanco and Carlos Cabrera-Lomelí contributed to this report. \u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Rainy weather and storms already are hitting the Bay Area and Northern California and are expected through the week. Here's what you can expect — plus, how to prepare.",
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"title": "Will October Rain End Fire Season and the Drought? What Wet Weather Means for the Bay Area | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Skip to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#resources\">Where can I find the latest on Bay Area weather?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">How do I sign up for emergency weather updates?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>A series of heavy storms has hit the Bay Area and Northern California and is expected to continue through the weekend, bringing potentially record-breaking amounts of rain of up to 7 inches in parched parts of the state. The rains coming later this week could be the biggest storms the state’s Central Valley region has seen in nine months.\u003c/p>\n\u003cp>Local residents got a taste of what’s coming over the weekend when smaller storms sprinkled some areas in the valley while dumping 10 inches of snow in higher elevations of the Sierra Nevada.\u003c/p>\n\u003cp>“This is definitely going to be one of those ground-soaking events,” said Emily Heller, a meteorologist with the National Weather Service in Sacramento.\u003c/p>\n\u003cp>In a statement from the California Governor’s Office of Emergency Services Tuesday, officials advised that all Californians should be prepared. Officials are most concerned about mudslides in areas with burn scars from the Caldor and Dixie fires. The most dangerous conditions occur hours after a storm when the rain stops and water is absorbed into the earth.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#alerts\">If you’re concerned about weather conditions in your area, sign up for alerts through your county.\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cblockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n\u003cp lang=\"en\" dir=\"ltr\">A series of weather system will bring periods of light to moderate rainfall ️ to the \u003ca href=\"https://twitter.com/hashtag/BayArea?src=hash&ref_src=twsrc%5Etfw\">#BayArea\u003c/a> & \u003ca href=\"https://twitter.com/hashtag/CentralCoast?src=hash&ref_src=twsrc%5Etfw\">#CentralCoast\u003c/a> through Friday. A more potent atmospheric river then takes aim on the region late in the weekend with widespread rainfall and gusty winds. Stay tuned!⚠️\u003ca href=\"https://twitter.com/hashtag/CAwx?src=hash&ref_src=twsrc%5Etfw\">#CAwx\u003c/a> \u003ca href=\"https://twitter.com/hashtag/BayAreaWX?src=hash&ref_src=twsrc%5Etfw\">#BayAreaWX\u003c/a> \u003ca href=\"https://t.co/usmXHUzWfk\">pic.twitter.com/usmXHUzWfk\u003c/a>\u003c/p>\n\u003cp>— NWS Bay Area (@NWSBayArea) \u003ca href=\"https://twitter.com/NWSBayArea/status/1450800366941990912?ref_src=twsrc%5Etfw\">October 20, 2021\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cscript async src=\"https://platform.twitter.com/widgets.js\" charset=\"utf-8\">\u003c/script>\u003c/p>\n\u003cp>In anticipation of more wet weather, KQED host Natalia Navarro sat down with reporter Dan Brekke to find out what storms could mean for California’s drought and the fire season.\u003c/p>\n\u003cp>\u003ci data-stringify-type=\"italic\">This interview from Oct. 19 has been edited for length and clarity.\u003c/i>\u003c/p>\n\u003ch3>Natalia Navarro: What is significant about this forecast?\u003c/h3>\n\u003cp>\u003cstrong>Dan Brekke\u003c/strong>: It’s a huge relief to people just to see rain, period, after our usual summer dry spell. But we’re also in a really serious, prolonged drought. I think the main thing that we’re going to see is a lot of rain. We’re going to get one round of rain coming in tonight into tomorrow, another one Thursday into Friday, and then over the weekend starting Sunday and into Monday. [We could see] potentially really heavy rains that could fall across most of the northern half of the state. This is an opportunity — perhaps — to see the end of the fire season that has also been pretty rough on the state all year.\u003c/p>\n\u003ch3>How much rain can the Bay Area expect?\u003c/h3>\n\u003cp>It depends on where you are. Around the Bay Area, the rainiest locations are in northern Sonoma County and in the Santa Cruz Mountains, and those places could see — by the end of this whole series of storms — more than 6 inches of rain. [In] San Francisco, Oakland, Richmond, we could see maybe 3 to 4 inches of rain, which is a lot for October. We’ll see much less in the South Bay and further south.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When you expand out and start to look beyond, there’s going to be really heavy rain in the Feather River watershed — where Lake Oroville is, around Shasta Lake and at the head of the Sacramento River. And in the northern and central Sierra, very heavy precipitation [is expected] in all of those places over the next week.\u003c/p>\n\u003ch3>What could this amount of rain mean for this year’s fire season?\u003c/h3>\n\u003cp>The hope is that if this forecast pans out for the next week, there will be enough rain over the northern half of the state that it’s really going to end the fire threat for the season — meaning that the vegetation that might burn in a fire is basically thoroughly soaked enough that it’s just not going to be something that’s going to catch fire if there was a thunderstorm (which is less likely at this time of year) or in the event of a big windstorm.\u003c/p>\n\u003cp>Unfortunately, for the southern half of the state, we’re not going to get enough rain over this period to really end the fire threat, from, say, Monterey County south to Los Angeles and San Diego counties.\u003c/p>\n\u003ch3>Are there any concerns about flooding or mudslides?\u003c/h3>\n\u003cp>There are concerns, and those concerns are directly related to the fires that we’ve seen over the last couple of years. We had immense fires around the Bay Area and throughout Northern California last year and again this year. And all of those areas are places that are prone to debris flows and landslides because of the heavy amounts of rain that could be falling — especially the storm that’s coming in Sunday and Monday.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://water.ca.gov/What-We-Do/Flood-Preparedness/Flood-Preparedness-Week\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>How to prepare for floods in California \u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Will this series of storms help us get out of this drought?\u003c/h3>\n\u003cp>It’s not really going to end the drought. I like the term that the National Weather Service office for the Bay Area uses: They speak of “beneficial rains,” and that’s really a short-term thing.\u003c/p>\n\u003cp>This is really a series of storms that is going to bring us some short-term benefits. Some of our reservoirs may bounce back from where they’ve been, and we’re going to get enough rain across our terribly brown, dry-looking landscape that will green up later in the fall.\u003c/p>\n\u003cp>But the drought is really a long-term issue. The long-term climate forecast for this coming season is that we’re in a La Niña pattern, which generally means less rain for Northern California than a normal year.\u003c/p>\n\u003cp>The bottom line [is that] what we really need to get is three really wet months in December, January and February to really say that we were out of the drought. But even then, you’re dealing with long-term effects. [The drought] really won’t be over until we have several seasons of normal rainfall.\u003c/p>\n\u003cfigure id=\"attachment_11893022\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11893022\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/G17_sector_psw_GEOCOLOR_24fr_20211020-1202.gif\" alt=\"Animated gif of a satellite image of the Bay Area region with clouds and rainstorms moving through the frame.\" width=\"600\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Satellite image captured the morning of October 20, 2021. \u003ccite>(NWS Bay Area)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003ca id=\"resources\">\u003c/a>Resources for tracking Bay Area weather\u003c/h3>\n\u003cp>There are plenty of online resources and apps available for tracking weather in real time, especially ahead of rain, storms and extreme conditions. Below is a list of sites KQED regularly uses in our reporting.\u003c/p>\n\u003cp>Websites to track basic weather information:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.wrh.noaa.gov/mtr/\" target=\"_blank\" rel=\"noopener noreferrer\">National Weather Service, San Francisco Bay Area\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cnrfc.noaa.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">California Nevada River Forecast Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://opensnow.com/dailysnow/tahoe\" target=\"_blank\" rel=\"noopener noreferrer\">Tahoe Daily Snow\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Comprehensive scientific sites for weather watch:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://earth.nullschool.net/\" target=\"_blank\" rel=\"noopener noreferrer\">Earth\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.cpc.ncep.noaa.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">National Oceanic and Atmospheric Administration (NOAA) Climate Prediction Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.weatherwest.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Weather West: California weather and climate perspectives\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"alerts\">\u003c/a>Where to sign up for Bay Area emergency weather alerts\u003c/h3>\n\u003cp>\u003ca href=\"https://www.acgov.org/emergencysite/\" target=\"_blank\" rel=\"noopener noreferrer\">Alameda County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cityofberkeley.info/EmergencyAlerting/\" target=\"_blank\" rel=\"noopener noreferrer\">City of Berkeley emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.contracosta.ca.gov/2269/Emergency-Alerts-Resources\" target=\"_blank\" rel=\"noopener noreferrer\">Contra Costa County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://emergency.marincounty.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Marin County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.countyofnapa.org/2481/Emergency-Alerts\" target=\"_blank\" rel=\"noopener noreferrer\">Napa County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://sfdem.org/get-city-alerts\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://cmo.smcgov.org/smc-alert\" target=\"_blank\" rel=\"noopener noreferrer\">San Mateo County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://emergencymanagement.sccgov.org/AlertSCC\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.solanocounty.com/depts/oes/emergency.asp\" target=\"_blank\" rel=\"noopener noreferrer\">Solano County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://socoemergency.org/get-ready/sign-up/\" target=\"_blank\" rel=\"noopener noreferrer\">Sonoma County emergency alerts\u003c/a>\u003c/p>\n\u003cp>\u003cem>\u003ci data-stringify-type=\"italic\">This post includes reporting from The Associated Press. \u003c/i>KQED’s Dan Brekke, Natalia Navarro, Lina Blanco and Carlos Cabrera-Lomelí contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "officials-fear-vaccine-mandates-may-make-school-staffing-shortages-in-california-worse",
"title": "Officials Fear Vaccine Mandates May Make School Staffing Shortages in California Worse",
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"headTitle": "Officials Fear Vaccine Mandates May Make School Staffing Shortages in California Worse | KQED",
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"content": "\u003cp>Some California school district superintendents, especially those in rural areas of the state, fear that teachers and other staff members will quit rather than be vaccinated or take weekly COVID-19 tests — a \u003ca class=\"external\" href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Order-of-the-State-Public-Health-Officer-Vaccine-Verification-for-Workers-in-Schools.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">state requirement\u003c/a> that began Friday.\u003c/p>\n\u003cp>Many California districts are already struggling to staff schools, and even a moderate number of resignations would mean not only fewer teachers but fewer bus drivers, instructional aides and substitute teachers to keep schools running.\u003c/p>\n\u003cp>Tim Taylor, executive director of the Small School Districts’ Association, said superintendents have told him some of their employees have threatened to quit their jobs because of the mandates.\u003c/p>\n\u003cp>“There are employees that will refuse to take the test and the vaccination, which puts the school district in a situation where they would lose employees who would rather not give up their personal beliefs or who don’t trust the government,” he said.\u003c/p>\n\u003cp>The COVID requirements will become even stricter this summer. Earlier this month, Gov. Gavin Newsom announced that all public and private school students and employees \u003ca href=\"https://edsource.org/2021/california-to-require-covid-vaccine-for-all-students-newsom-says/661843\">must be vaccinated\u003c/a> by July to be on campuses. They will no longer be able to be tested as an alternative to a vaccine unless they are eligible for medical or personal belief exemptions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Opinions about the mandates vary greatly and largely depend on the politics of the school community. School districts in more conservative areas of the state report more resistance to testing and vaccines than communities with more liberal residents.\u003c/p>\n\u003cp>“This conversation is playing out very differently depending what community you are in,” said Edgar Zazueta, senior director of policy of the Association of California School Administrators during his \u003ca class=\"external\" href=\"https://www.youtube.com/watch?v=xeUXKQpIvkI&t=1173s\" target=\"_blank\" rel=\"noopener noreferrer\">weekly legislative update\u003c/a> last week.\u003c/p>\n\u003cp>Superintendents in some districts are concerned about the potential for declining enrollment and increased staffing shortages because of the vaccine mandates, Zazueta said. On the flip side, he said the state mandate gives school districts like Los Angeles Unified that have instituted local vaccination mandates some cover in terms of defending themselves against legal challenges. [pullquote size=\"medium\" align=\"right\" citation=\"Sherri Morgan, executive director at Long Valley Charter School\"]“In January, if they say they have to be vaccinated, I don’t know how I will stay open.”[/pullquote]\u003c/p>\n\u003cp>In Modoc Joint Unified School District in Alturas, 31 teachers and other school staff are considering resigning because they don’t want to take the COVID test or get vaccinated, Taylor said.\u003c/p>\n\u003cp>In a small district like Modoc Joint Unified, which has 857 students, a loss of nearly half its employees could force it to close, Taylor said.\u003c/p>\n\u003cp>“We have never gotten to these crossroads,” Taylor said. “What if you can’t staff your schools? I don’t know what the answer is.”\u003c/p>\n\u003cp>Schools in many rural areas already have been \u003ca href=\"https://edsource.org/2021/covid-closes-rural-california-schools-as-delta-variant-spreads/660712\">struggling with staffing\u003c/a> shortages, which have been exacerbated this school year by high COVID infection rates and mandated quarantines, leaving classrooms without teachers.\u003c/p>\n\u003cp>Although there is more resistance to the mandates at rural schools, even the state’s largest district — Los Angeles Unified — is struggling to get its staff vaccinated. The district, which passed its own vaccine mandate for staff and students in September, recently moved its deadline for all staff to be fully vaccinated from Oct. 15 to Nov. 15.\u003c/p>\n\u003cp>At a \u003ca class=\"external\" href=\"https://lausd.granicus.com/player/clip/3864?&redirect=true\" target=\"_blank\" rel=\"noopener noreferrer\">school board meeting\u003c/a> on Sept. 28, district officials announced that only 1 in 5 employees had turned in proof of vaccination, according to the \u003ca class=\"external\" href=\"https://www.latimes.com/california/story/2021-10-11/l-a-unified-extends-vaccine-deadline-for-employees\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles Times\u003c/a>. The district is trying to encourage vaccinations by hosting vaccine clinics on campuses, allowing staff up to three hours of paid time off to be vaccinated and hosting informational meetings for employees.\u003c/p>\n\u003cp>Los Angeles Unified School District Interim Superintendent Megan Reilly has said vaccines are the best way to keep kids in school.\u003c/p>\n\u003cp>“Vaccines are a game-changer for all of us,” she said in August. “They help reduce the chances of getting considerably sick and dying from the virus. We can and will protect our school communities by continuing to vaccinate employees and every eligible student.”\u003c/p>\n\u003cp>The school boards of Culver City Unified, West Contra Costa Unified, Oakland Unified, Piedmont Unified, San Diego Unified and, this week, Sacramento City Unified, also voted to establish vaccine mandates for eligible students and staff that will begin before the state mandate.\u003c/p>\n\u003cp>The \u003ca class=\"external\" href=\"https://www.gov.ca.gov/2021/10/01/california-becomes-first-state-in-nation-to-announce-covid-19-vaccine-requirements-for-schools/\" target=\"_blank\" rel=\"noopener noreferrer\">state mandate\u003c/a> is set to begin either Jan. 1 or July 1, depending on when the U.S. Food and Drug Administration fully approves the shot for children in each grade span — 7-12 and K-6. Only the Pfizer vaccine is fully approved for those 16 and older. The Pfizer vaccine also has emergency authorization for use in children ages 12 to 16.\u003c/p>\n\u003cp>Sacramento City Unified Superintendent Jorge Aguilar called the district’s \u003ca class=\"external\" href=\"https://www.scusd.edu/press-release/covid-19-vaccination-requirement-students-and-staff-approved-sacramento-city-unified\" target=\"_blank\" rel=\"noopener noreferrer\">vaccine mandate\u003c/a> “a bold stand to protect public health,” but warned the school board Tuesday that the requirement could increase staffing shortages in the district as students who don’t want to be vaccinated move to independent study.\u003c/p>\n\u003cp>“Our independent study program is already challenged under our current circumstances,” he said in a statement. “A statewide staffing shortage has been exacerbated by the pandemic, and Sac City Unified, like most districts across the state, has been struggling to fill positions, so we can meet current demand for independent study.”\u003c/p>\n\u003cp>The school board voted to require all eligible students and staff to show proof of vaccination, either first or second dose, by Nov. 30.\u003c/p>\n\u003cp>In San Diego Unified, school staff members have until Dec. 20 to receive both doses of the vaccine. That gives them two weeks over the winter break to achieve full immunity, said Andrew Sharp, spokesman for the district.\u003c/p>\n\u003cp>Sharp said it’s too early to know if the state vaccine mandate will affect staffing levels at the district. Currently, the district requires that staff either be vaccinated or tested for COVID-19. The human resources department hasn’t seen an exodus of staff as a result, he said.\u003c/p>\n\u003cp>District vaccine mandates aren’t likely in rural districts, where more community residents are opposed to vaccines. Staffing shortages are already severe in some of those districts, and school officials worry about filling positions if more employees leave.\u003c/p>\n\u003cp>Sherri Morgan, executive director at Long Valley Charter School in the small, conservative town of Doyle in Lassen County, said it’s difficult to find employees even in the best of times.\u003c/p>\n\u003cp>“Do you know where Doyle is?” she asked. “There is nothing for 40 miles north of Reno. It’s literally in the middle of nowhere.”\u003c/p>\n\u003cp>Every member of the Long Valley Charter School staff has indicated a willingness to take the COVID test, Morgan said. But she is nervous about what will happen when the option to test is taken away and the vaccine is mandated.\u003c/p>\n\u003cp>“In January, if they say they have to be vaccinated, I don’t know how I will stay open,” she said.\u003c/p>\n\u003cp>The district, which serves 230 students, already has counselors and other credentialed employees in classrooms filling in for teachers every day of the week, she said. [aside tag=\"education\" label=\"related coverage\"]\u003c/p>\n\u003cp>Morgan is particularly worried about what will happen if state legislators remove the option for personal exemptions.\u003c/p>\n\u003cp>“I’m not joking with you on this,” Morgan said. “I have thought about bringing in candidates from out of the country. I was close when COVID restrictions first happened.”\u003c/p>\n\u003cp>Lynn Pennock, an employee at Temecula Valley Unified School District in Riverside County, expressed her displeasure with the governor’s most recent vaccine mandate at a school \u003ca class=\"external\" href=\"https://www.youtube.com/watch?v=BRvGrmu46fU\" target=\"_blank\" rel=\"noopener noreferrer\">board meeting\u003c/a> on Oct. 5.\u003c/p>\n\u003cp>“I’m totally happy to take the test, preferably the spit test. I don’t want something up my nose,” said Pennock, who said she has never had COVID, although three people in her family have contracted the virus. “I will take it every week without taking that vaccine. I don’t feel I need to take the vaccine. So you know what it is honestly, it’s extortion. It’s not a choice anymore. You are mandating something and that’s extortion.”\u003c/p>\n\u003cp>At Clovis Unified, a district of nearly 43,000 students in Fresno County, opposition to COVID safety protocols has been heated.\u003c/p>\n\u003cp>Barry Jager, associate superintendent of human resources and employee relations at Clovis Unified, said the district is trying to accommodate staff who are hesitant to take the mandated COVID test by offering both the nasal swab and the less invasive saliva test.\u003c/p>\n\u003cp>The district has a shortage of instructional aides, bus drivers and substitute teachers, he said. Bus mechanics and district transportation managers are doubling as bus drivers, and human resources staff struggle to hire enough substitutes.\u003c/p>\n\u003cp>He expects the mandates — especially the vaccine mandate next year — will make it difficult to keep staff.\u003c/p>\n\u003cp>Konocti Unified School District officials struggle every year to find enough teachers and other staff for their schools. Assistant Superintendent Chris Schoeneman is certain the vaccine mandates will make staff shortages even worse in the district, which serves more than 3,700 students in rural Lake County.\u003c/p>\n\u003cp>Schoeneman supports the vaccine mandate but understands that not everyone shares his beliefs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I do see us losing good people who just believe strongly that they should never be mandated by the government on something like this,” he said. “Their reasons may be political, health-related, religious, etc., so there is a lot to consider for folks and be respectful about. … But bottom line is it looks like you will need to be vaccinated if you want to work in education in California.”\u003c/p>\n\n",
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"excerpt": "Some school districts have already staffed classrooms with non-teaching staff in the face of a dire teachers shortage, one that has hit rural communities particularly hard.",
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"title": "Officials Fear Vaccine Mandates May Make School Staffing Shortages in California Worse | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some California school district superintendents, especially those in rural areas of the state, fear that teachers and other staff members will quit rather than be vaccinated or take weekly COVID-19 tests — a \u003ca class=\"external\" href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Order-of-the-State-Public-Health-Officer-Vaccine-Verification-for-Workers-in-Schools.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">state requirement\u003c/a> that began Friday.\u003c/p>\n\u003cp>Many California districts are already struggling to staff schools, and even a moderate number of resignations would mean not only fewer teachers but fewer bus drivers, instructional aides and substitute teachers to keep schools running.\u003c/p>\n\u003cp>Tim Taylor, executive director of the Small School Districts’ Association, said superintendents have told him some of their employees have threatened to quit their jobs because of the mandates.\u003c/p>\n\u003cp>“There are employees that will refuse to take the test and the vaccination, which puts the school district in a situation where they would lose employees who would rather not give up their personal beliefs or who don’t trust the government,” he said.\u003c/p>\n\u003cp>The COVID requirements will become even stricter this summer. Earlier this month, Gov. Gavin Newsom announced that all public and private school students and employees \u003ca href=\"https://edsource.org/2021/california-to-require-covid-vaccine-for-all-students-newsom-says/661843\">must be vaccinated\u003c/a> by July to be on campuses. They will no longer be able to be tested as an alternative to a vaccine unless they are eligible for medical or personal belief exemptions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Opinions about the mandates vary greatly and largely depend on the politics of the school community. School districts in more conservative areas of the state report more resistance to testing and vaccines than communities with more liberal residents.\u003c/p>\n\u003cp>“This conversation is playing out very differently depending what community you are in,” said Edgar Zazueta, senior director of policy of the Association of California School Administrators during his \u003ca class=\"external\" href=\"https://www.youtube.com/watch?v=xeUXKQpIvkI&t=1173s\" target=\"_blank\" rel=\"noopener noreferrer\">weekly legislative update\u003c/a> last week.\u003c/p>\n\u003cp>Superintendents in some districts are concerned about the potential for declining enrollment and increased staffing shortages because of the vaccine mandates, Zazueta said. On the flip side, he said the state mandate gives school districts like Los Angeles Unified that have instituted local vaccination mandates some cover in terms of defending themselves against legal challenges. \u003c/p>\u003c/div>",
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"content": "“In January, if they say they have to be vaccinated, I don’t know how I will stay open.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In Modoc Joint Unified School District in Alturas, 31 teachers and other school staff are considering resigning because they don’t want to take the COVID test or get vaccinated, Taylor said.\u003c/p>\n\u003cp>In a small district like Modoc Joint Unified, which has 857 students, a loss of nearly half its employees could force it to close, Taylor said.\u003c/p>\n\u003cp>“We have never gotten to these crossroads,” Taylor said. “What if you can’t staff your schools? I don’t know what the answer is.”\u003c/p>\n\u003cp>Schools in many rural areas already have been \u003ca href=\"https://edsource.org/2021/covid-closes-rural-california-schools-as-delta-variant-spreads/660712\">struggling with staffing\u003c/a> shortages, which have been exacerbated this school year by high COVID infection rates and mandated quarantines, leaving classrooms without teachers.\u003c/p>\n\u003cp>Although there is more resistance to the mandates at rural schools, even the state’s largest district — Los Angeles Unified — is struggling to get its staff vaccinated. The district, which passed its own vaccine mandate for staff and students in September, recently moved its deadline for all staff to be fully vaccinated from Oct. 15 to Nov. 15.\u003c/p>\n\u003cp>At a \u003ca class=\"external\" href=\"https://lausd.granicus.com/player/clip/3864?&redirect=true\" target=\"_blank\" rel=\"noopener noreferrer\">school board meeting\u003c/a> on Sept. 28, district officials announced that only 1 in 5 employees had turned in proof of vaccination, according to the \u003ca class=\"external\" href=\"https://www.latimes.com/california/story/2021-10-11/l-a-unified-extends-vaccine-deadline-for-employees\" target=\"_blank\" rel=\"noopener noreferrer\">Los Angeles Times\u003c/a>. The district is trying to encourage vaccinations by hosting vaccine clinics on campuses, allowing staff up to three hours of paid time off to be vaccinated and hosting informational meetings for employees.\u003c/p>\n\u003cp>Los Angeles Unified School District Interim Superintendent Megan Reilly has said vaccines are the best way to keep kids in school.\u003c/p>\n\u003cp>“Vaccines are a game-changer for all of us,” she said in August. “They help reduce the chances of getting considerably sick and dying from the virus. We can and will protect our school communities by continuing to vaccinate employees and every eligible student.”\u003c/p>\n\u003cp>The school boards of Culver City Unified, West Contra Costa Unified, Oakland Unified, Piedmont Unified, San Diego Unified and, this week, Sacramento City Unified, also voted to establish vaccine mandates for eligible students and staff that will begin before the state mandate.\u003c/p>\n\u003cp>The \u003ca class=\"external\" href=\"https://www.gov.ca.gov/2021/10/01/california-becomes-first-state-in-nation-to-announce-covid-19-vaccine-requirements-for-schools/\" target=\"_blank\" rel=\"noopener noreferrer\">state mandate\u003c/a> is set to begin either Jan. 1 or July 1, depending on when the U.S. Food and Drug Administration fully approves the shot for children in each grade span — 7-12 and K-6. Only the Pfizer vaccine is fully approved for those 16 and older. The Pfizer vaccine also has emergency authorization for use in children ages 12 to 16.\u003c/p>\n\u003cp>Sacramento City Unified Superintendent Jorge Aguilar called the district’s \u003ca class=\"external\" href=\"https://www.scusd.edu/press-release/covid-19-vaccination-requirement-students-and-staff-approved-sacramento-city-unified\" target=\"_blank\" rel=\"noopener noreferrer\">vaccine mandate\u003c/a> “a bold stand to protect public health,” but warned the school board Tuesday that the requirement could increase staffing shortages in the district as students who don’t want to be vaccinated move to independent study.\u003c/p>\n\u003cp>“Our independent study program is already challenged under our current circumstances,” he said in a statement. “A statewide staffing shortage has been exacerbated by the pandemic, and Sac City Unified, like most districts across the state, has been struggling to fill positions, so we can meet current demand for independent study.”\u003c/p>\n\u003cp>The school board voted to require all eligible students and staff to show proof of vaccination, either first or second dose, by Nov. 30.\u003c/p>\n\u003cp>In San Diego Unified, school staff members have until Dec. 20 to receive both doses of the vaccine. That gives them two weeks over the winter break to achieve full immunity, said Andrew Sharp, spokesman for the district.\u003c/p>\n\u003cp>Sharp said it’s too early to know if the state vaccine mandate will affect staffing levels at the district. Currently, the district requires that staff either be vaccinated or tested for COVID-19. The human resources department hasn’t seen an exodus of staff as a result, he said.\u003c/p>\n\u003cp>District vaccine mandates aren’t likely in rural districts, where more community residents are opposed to vaccines. Staffing shortages are already severe in some of those districts, and school officials worry about filling positions if more employees leave.\u003c/p>\n\u003cp>Sherri Morgan, executive director at Long Valley Charter School in the small, conservative town of Doyle in Lassen County, said it’s difficult to find employees even in the best of times.\u003c/p>\n\u003cp>“Do you know where Doyle is?” she asked. “There is nothing for 40 miles north of Reno. It’s literally in the middle of nowhere.”\u003c/p>\n\u003cp>Every member of the Long Valley Charter School staff has indicated a willingness to take the COVID test, Morgan said. But she is nervous about what will happen when the option to test is taken away and the vaccine is mandated.\u003c/p>\n\u003cp>“In January, if they say they have to be vaccinated, I don’t know how I will stay open,” she said.\u003c/p>\n\u003cp>The district, which serves 230 students, already has counselors and other credentialed employees in classrooms filling in for teachers every day of the week, she said. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Morgan is particularly worried about what will happen if state legislators remove the option for personal exemptions.\u003c/p>\n\u003cp>“I’m not joking with you on this,” Morgan said. “I have thought about bringing in candidates from out of the country. I was close when COVID restrictions first happened.”\u003c/p>\n\u003cp>Lynn Pennock, an employee at Temecula Valley Unified School District in Riverside County, expressed her displeasure with the governor’s most recent vaccine mandate at a school \u003ca class=\"external\" href=\"https://www.youtube.com/watch?v=BRvGrmu46fU\" target=\"_blank\" rel=\"noopener noreferrer\">board meeting\u003c/a> on Oct. 5.\u003c/p>\n\u003cp>“I’m totally happy to take the test, preferably the spit test. I don’t want something up my nose,” said Pennock, who said she has never had COVID, although three people in her family have contracted the virus. “I will take it every week without taking that vaccine. I don’t feel I need to take the vaccine. So you know what it is honestly, it’s extortion. It’s not a choice anymore. You are mandating something and that’s extortion.”\u003c/p>\n\u003cp>At Clovis Unified, a district of nearly 43,000 students in Fresno County, opposition to COVID safety protocols has been heated.\u003c/p>\n\u003cp>Barry Jager, associate superintendent of human resources and employee relations at Clovis Unified, said the district is trying to accommodate staff who are hesitant to take the mandated COVID test by offering both the nasal swab and the less invasive saliva test.\u003c/p>\n\u003cp>The district has a shortage of instructional aides, bus drivers and substitute teachers, he said. Bus mechanics and district transportation managers are doubling as bus drivers, and human resources staff struggle to hire enough substitutes.\u003c/p>\n\u003cp>He expects the mandates — especially the vaccine mandate next year — will make it difficult to keep staff.\u003c/p>\n\u003cp>Konocti Unified School District officials struggle every year to find enough teachers and other staff for their schools. Assistant Superintendent Chris Schoeneman is certain the vaccine mandates will make staff shortages even worse in the district, which serves more than 3,700 students in rural Lake County.\u003c/p>\n\u003cp>Schoeneman supports the vaccine mandate but understands that not everyone shares his beliefs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I do see us losing good people who just believe strongly that they should never be mandated by the government on something like this,” he said. “Their reasons may be political, health-related, religious, etc., so there is a lot to consider for folks and be respectful about. … But bottom line is it looks like you will need to be vaccinated if you want to work in education in California.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "newsom-signs-plenty-of-bills-but-what-makes-him-kill-one",
"title": "Newsom Signs Plenty of Bills — But What Makes Him Kill One?",
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"headTitle": "Newsom Signs Plenty of Bills — But What Makes Him Kill One? | KQED",
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"content": "\u003cp>Gov. Gavin Newsom has now completed three rounds of the annual ritual of deciding what should become law in California by giving a thumbs-up or thumbs-down to hundreds of bills sent to him by the Legislature.\u003c/p>\n\u003cp>[aside postID=\"news_11891336\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/Capitol-1180x787-3-1020x680.jpeg\"]In year one, he used the routine to demonstrate differences from his predecessor, signing dozens of bills that Jerry Brown had vetoed — but also vetoing a greater proportion of bills than Brown typically did.\u003c/p>\n\u003cp>In year two, with the Legislature largely sidelined by the COVID-19 pandemic, Newsom signed fewer new laws than any governor in more than 50 years, instead governing through numerous executive orders.\u003c/p>\n\u003cp>And this year, his third, Newsom used his veto pen at about half the rate he did in his first year as governor, saying “no” to about 8% of the 836 bills that hit his desk.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/_/hxNrlgiB93BuhlMnvrIa?src=embed\" title=\"2021 Vetoes\" width=\"800\" height=\"602\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>In doing so, Newsom largely demonstrated a traditional governing philosophy, using his veto power to block bills that cost more than the state budgeted for, clashed with work already underway in his administration or were repeats of ideas he’d already nixed. Essentially, Newsom’s vetoes in 2021 proved more about what he has in common with his predecessors than how he is unique.\u003c/p>\n\u003cp>“He is similar to other governors in that there are some consistent themes or bases for governors to veto legislation,” said Chris Micheli, a lobbyist and attorney who teaches law school courses on the legislative process.\u003c/p>\n\u003cp>“His first year in office was very different.”\u003c/p>\n\u003cp>While Newsom held celebratory public events with legislators to sign their bills, he announced vetoes by listing them at the end of press releases. So, many of them flew under the radar. It required reading his veto messages to get explanations or justifications of why he didn’t believe the proposals should become law in California. On some bills, he cited multiple reasons.\u003c/p>\n\u003cp>Here are some key themes that emerged from Newsom’s 66 vetoes this year:\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>That’s not in the budget\u003c/strong>\u003c/h3>\n\u003cp>Some bills advancing causes that Newsom has championed in the past got his thumbs-down nonetheless. Why? Because, he argued in many veto messages, the proposal would cost money the state had not budgeted for, \u003ca href=\"https://www.kqed.org/news/11862460/as-californias-rich-get-richer-state-expects-10-5-billion-surplus-despite-slow-economy\">despite an unprecedented windfall of state revenue and federal aid\u003c/a>.\u003c/p>\n\u003cp>That’s what Newsom said in nixing a bill to raise the amount of salary that workers can receive while taking paid family leave — even though he signed two expansions of the family leave program in years past.\u003c/p>\n\u003cp>[aside postID=\"news_11891396\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/SF-high-school-in-person-class-1020x680.jpg\"]A spokesperson from Newsom’s finance department told CalMatters that the bill would have hiked the cost for both employees and the state, including millions in computer upgrades and public outreach.\u003c/p>\n\u003cp>Newsom also made the cost argument in vetoing a huge expansion of college financial aid. Just months ago, he signed a budget that includes an additional $3.3 billion for colleges and universities, including $1.5 billion in increases for student grants and work study opportunities.\u003c/p>\n\u003cp>“Expanding access to financial aid has been a priority for my Administration,” the Governor wrote in his veto. But, he told lawmakers, massive changes to the system need to be considered as part of the regular budget process.\u003c/p>\n\u003ch3>\u003cstrong>Calling out repeat bills\u003c/strong>\u003c/h3>\n\u003cp>As he’s becoming more seasoned as governor, a new theme is emerging in Newsom’s vetoes: calling out the repeats.\u003c/p>\n\u003cp>“As I stated in a veto message on similar legislation in 2019,” Newsom wrote in nixing a bill that would prohibit paying petition circulators per signature gathered, “I appreciate the intent of this bill to incentivize grassroots support for the initiative, referendum, and recall process.”\u003c/p>\n\u003cp>[aside postID=\"news_11891010\" hero=\"https://ww2.kqed.org/app/uploads/uploads/sites/10/2021/10/illustration_NewsomMoney_v1-1020x678.jpg\"]But, he said, changing the way workers are paid to gather signatures could make the process more costly, giving wealthy interests even more influence over the initiative process.\u003c/p>\n\u003cp>Similarly, he vetoed legislation to let supervisors in state government settle disputes through binding arbitration by saying it could add costs and create conflicts with existing procedures, “the same concerns I had with a previous, nearly-identical bill … which I also vetoed.”\u003c/p>\n\u003cp>Former Gov. Brown — who saw plenty of repeats as California’s longest-serving governor — also had a habit of using his veto messages to highlight the rationale behind his prior vetoes.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/_/g74doLv8ZouV2FRyiUiB?src=embed\" title=\"Newsom vetoes compared to other governors, 2021\" width=\"800\" height=\"712\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch3>\u003cstrong>Overwhelming support is no guarantee\u003c/strong>\u003c/h3>\n\u003cp>Newsom blocked a number of bills that were not controversial as they moved through the Legislature, making his veto a surprise after proposals advanced for months drama-free.\u003c/p>\n\u003cp>An attempt to crack down on the use of “bots” to scoop up camping reservations at state parks, for example, passed the Legislature with sweeping bipartisan support and had no formal opposition. Newsom, however, said the bill is unnecessary because the state has added security measures on its camping reservation website.\u003c/p>\n\u003cp>[aside postID=\"news_11890615\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1216832918-1020x680.jpg\"]\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB494\">SB 494\u003c/a>, a measure requiring police officers to be trained in “interpersonal communication skills and ethical science-based interviewing,” similarly sailed through the Capitol without a single “no” vote.\u003c/p>\n\u003cp>Newsom said he likes the idea but doesn’t want to create a mandatory cost for police departments. In \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2021/10/SB-494-Message-Scan.pdf\">vetoing the bill\u003c/a>, he said he’ll direct the commission that trains police to create the training course and leave it up to departments to decide whether their officers take it.\u003c/p>\n\u003cp>Patio umbrellas hardly seem like a controversial subject. Lawmakers overwhelmingly agreed that state law should allow alcohol manufacturers to give away promotional patio umbrellas to venues that sell their liquor.\u003c/p>\n\u003cp>But Newsom — owner of the PlumpJack wine and hospitality business, who often talks about launching a small wine shop as a young entrepreneur — vetoed the legislation, saying it would “increase alcohol signage and advertisements in public areas and disadvantage small alcohol manufacturers that cannot compete with the marketing budgets of multibillion-dollar corporations.”\u003c/p>\n\u003ch3>\u003cstrong>Approaching some new ideas with caution\u003c/strong>\u003c/h3>\n\u003cp>On two bills meant to address the scourge of drug addiction, Newsom just said no.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220AB1542\">AB 1542\u003c/a> would have allowed Yolo County to create a rehab program for people with a substance use disorder who commit certain crimes. The bill earned bipartisan support from lawmakers in both houses, but Newsom vetoed it saying it would lead to “forced treatment,” which could hinder “participants’ long-term recovery.”\u003c/p>\n\u003cp>[aside postID=\"news_11891403\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/RS51806_048_Oakland_HighlandHospitalBridgeProgram_10062021-qut-1020x680.jpg\"]Many progressive criminal justice reform groups opposed AB 1542, including the Drug Policy Alliance, whose board member George Soros donated $1 million to help Newsom fight last month’s recall.\u003c/p>\n\u003cp>At the same time, Newsom vetoed another bill that the Drug Policy Alliance supported, a measure to allow Medi-Cal to cover money paid to people recovering from drug addiction as an incentive to stay sober.\u003c/p>\n\u003cp>In his veto, Newsom wrote that the state is trying to launch a similar pilot project, the results of which he wants to evaluate before agreeing to any expansion. That bill cleared the Legislature with overwhelming bipartisan support, but was opposed by Newsom’s finance department.\u003c/p>\n\u003cp>Similarly, he blocked two proposals aimed at changing rules of the road for walkers and bicyclists. One would have decriminalized jaywalking and the other would have let bicyclists ride through stop signs.\u003c/p>\n\u003cp>Supporters of the jaywalking bill said people of color are unfairly targeted. Newsom agreed, but pointed out California’s high rate of pedestrian deaths and warned that the bill “will unintentionally reduce pedestrian safety and potentially increase fatalities or serious injuries.”\u003c/p>\n\u003cp>Likewise, Newsom said the bicyclist bill could backfire and increase collisions and deaths, especially among “children, who may not know how to judge vehicle speeds or exercise the necessary caution to yield to traffic when appropriate.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Sameea Kamal contributed to this story.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In year one, he used the routine to demonstrate differences from his predecessor, signing dozens of bills that Jerry Brown had vetoed — but also vetoing a greater proportion of bills than Brown typically did.\u003c/p>\n\u003cp>In year two, with the Legislature largely sidelined by the COVID-19 pandemic, Newsom signed fewer new laws than any governor in more than 50 years, instead governing through numerous executive orders.\u003c/p>\n\u003cp>And this year, his third, Newsom used his veto pen at about half the rate he did in his first year as governor, saying “no” to about 8% of the 836 bills that hit his desk.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/_/hxNrlgiB93BuhlMnvrIa?src=embed\" title=\"2021 Vetoes\" width=\"800\" height=\"602\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>In doing so, Newsom largely demonstrated a traditional governing philosophy, using his veto power to block bills that cost more than the state budgeted for, clashed with work already underway in his administration or were repeats of ideas he’d already nixed. Essentially, Newsom’s vetoes in 2021 proved more about what he has in common with his predecessors than how he is unique.\u003c/p>\n\u003cp>“He is similar to other governors in that there are some consistent themes or bases for governors to veto legislation,” said Chris Micheli, a lobbyist and attorney who teaches law school courses on the legislative process.\u003c/p>\n\u003cp>“His first year in office was very different.”\u003c/p>\n\u003cp>While Newsom held celebratory public events with legislators to sign their bills, he announced vetoes by listing them at the end of press releases. So, many of them flew under the radar. It required reading his veto messages to get explanations or justifications of why he didn’t believe the proposals should become law in California. On some bills, he cited multiple reasons.\u003c/p>\n\u003cp>Here are some key themes that emerged from Newsom’s 66 vetoes this year:\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>That’s not in the budget\u003c/strong>\u003c/h3>\n\u003cp>Some bills advancing causes that Newsom has championed in the past got his thumbs-down nonetheless. Why? Because, he argued in many veto messages, the proposal would cost money the state had not budgeted for, \u003ca href=\"https://www.kqed.org/news/11862460/as-californias-rich-get-richer-state-expects-10-5-billion-surplus-despite-slow-economy\">despite an unprecedented windfall of state revenue and federal aid\u003c/a>.\u003c/p>\n\u003cp>That’s what Newsom said in nixing a bill to raise the amount of salary that workers can receive while taking paid family leave — even though he signed two expansions of the family leave program in years past.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A spokesperson from Newsom’s finance department told CalMatters that the bill would have hiked the cost for both employees and the state, including millions in computer upgrades and public outreach.\u003c/p>\n\u003cp>Newsom also made the cost argument in vetoing a huge expansion of college financial aid. Just months ago, he signed a budget that includes an additional $3.3 billion for colleges and universities, including $1.5 billion in increases for student grants and work study opportunities.\u003c/p>\n\u003cp>“Expanding access to financial aid has been a priority for my Administration,” the Governor wrote in his veto. But, he told lawmakers, massive changes to the system need to be considered as part of the regular budget process.\u003c/p>\n\u003ch3>\u003cstrong>Calling out repeat bills\u003c/strong>\u003c/h3>\n\u003cp>As he’s becoming more seasoned as governor, a new theme is emerging in Newsom’s vetoes: calling out the repeats.\u003c/p>\n\u003cp>“As I stated in a veto message on similar legislation in 2019,” Newsom wrote in nixing a bill that would prohibit paying petition circulators per signature gathered, “I appreciate the intent of this bill to incentivize grassroots support for the initiative, referendum, and recall process.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But, he said, changing the way workers are paid to gather signatures could make the process more costly, giving wealthy interests even more influence over the initiative process.\u003c/p>\n\u003cp>Similarly, he vetoed legislation to let supervisors in state government settle disputes through binding arbitration by saying it could add costs and create conflicts with existing procedures, “the same concerns I had with a previous, nearly-identical bill … which I also vetoed.”\u003c/p>\n\u003cp>Former Gov. Brown — who saw plenty of repeats as California’s longest-serving governor — also had a habit of using his veto messages to highlight the rationale behind his prior vetoes.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/_/g74doLv8ZouV2FRyiUiB?src=embed\" title=\"Newsom vetoes compared to other governors, 2021\" width=\"800\" height=\"712\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch3>\u003cstrong>Overwhelming support is no guarantee\u003c/strong>\u003c/h3>\n\u003cp>Newsom blocked a number of bills that were not controversial as they moved through the Legislature, making his veto a surprise after proposals advanced for months drama-free.\u003c/p>\n\u003cp>An attempt to crack down on the use of “bots” to scoop up camping reservations at state parks, for example, passed the Legislature with sweeping bipartisan support and had no formal opposition. Newsom, however, said the bill is unnecessary because the state has added security measures on its camping reservation website.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB494\">SB 494\u003c/a>, a measure requiring police officers to be trained in “interpersonal communication skills and ethical science-based interviewing,” similarly sailed through the Capitol without a single “no” vote.\u003c/p>\n\u003cp>Newsom said he likes the idea but doesn’t want to create a mandatory cost for police departments. In \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2021/10/SB-494-Message-Scan.pdf\">vetoing the bill\u003c/a>, he said he’ll direct the commission that trains police to create the training course and leave it up to departments to decide whether their officers take it.\u003c/p>\n\u003cp>Patio umbrellas hardly seem like a controversial subject. Lawmakers overwhelmingly agreed that state law should allow alcohol manufacturers to give away promotional patio umbrellas to venues that sell their liquor.\u003c/p>\n\u003cp>But Newsom — owner of the PlumpJack wine and hospitality business, who often talks about launching a small wine shop as a young entrepreneur — vetoed the legislation, saying it would “increase alcohol signage and advertisements in public areas and disadvantage small alcohol manufacturers that cannot compete with the marketing budgets of multibillion-dollar corporations.”\u003c/p>\n\u003ch3>\u003cstrong>Approaching some new ideas with caution\u003c/strong>\u003c/h3>\n\u003cp>On two bills meant to address the scourge of drug addiction, Newsom just said no.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220AB1542\">AB 1542\u003c/a> would have allowed Yolo County to create a rehab program for people with a substance use disorder who commit certain crimes. The bill earned bipartisan support from lawmakers in both houses, but Newsom vetoed it saying it would lead to “forced treatment,” which could hinder “participants’ long-term recovery.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Many progressive criminal justice reform groups opposed AB 1542, including the Drug Policy Alliance, whose board member George Soros donated $1 million to help Newsom fight last month’s recall.\u003c/p>\n\u003cp>At the same time, Newsom vetoed another bill that the Drug Policy Alliance supported, a measure to allow Medi-Cal to cover money paid to people recovering from drug addiction as an incentive to stay sober.\u003c/p>\n\u003cp>In his veto, Newsom wrote that the state is trying to launch a similar pilot project, the results of which he wants to evaluate before agreeing to any expansion. That bill cleared the Legislature with overwhelming bipartisan support, but was opposed by Newsom’s finance department.\u003c/p>\n\u003cp>Similarly, he blocked two proposals aimed at changing rules of the road for walkers and bicyclists. One would have decriminalized jaywalking and the other would have let bicyclists ride through stop signs.\u003c/p>\n\u003cp>Supporters of the jaywalking bill said people of color are unfairly targeted. Newsom agreed, but pointed out California’s high rate of pedestrian deaths and warned that the bill “will unintentionally reduce pedestrian safety and potentially increase fatalities or serious injuries.”\u003c/p>\n\u003cp>Likewise, Newsom said the bicyclist bill could backfire and increase collisions and deaths, especially among “children, who may not know how to judge vehicle speeds or exercise the necessary caution to yield to traffic when appropriate.”\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Sameea Kamal contributed to this story.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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}
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"id": "fresh-air",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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